Therapeutic alternatives for supporting GPs to deprescribe opioids: a cross-sectional survey.

摘要: Background GPs are central to opioid strategy in chronic non-cancer pain (CNCP). Lack of treatment alternatives and providers common reasons cited for not deprescribing opioids. There limited data about availability multidisciplinary healthcare (MHCPs), such as psychologists, physiotherapists, or dietitians, who can provide broader treatments. Aim To explore MHCPs, the association with GP transition therapeutic CNCP. Design & setting Cross-sectional survey all practising ( N = 1480) one mixed urban regional Australian primary health network. Method A self-report mailed questionnaire assessed MHCPs management their most recent patient on long-term opioids Results Six hundred eighty-one (46%) valid responses were received. Most (71%) had access a specialist within 50 km. GPs’ previous referral support was significantly associated greater number P 0.001). Employment nurse increased rate ratio available by 12.5% (incidence [IRR] 1.125, 95% confidence interval [CI] 1.001 1.264). Only one-third (32%) reported willingness deprescribe shift CNCP Availability decisions. Conclusion geographical known does appear be major barrier shifting toward non-pharmacological treatments Considerable opportunity remains encourage GPs9 decision deprescribe, employment practice appearing play role.