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Type: Journal article
Title: Dispensing opioid substitution treatment: practices, attitudes and intentions of community-based pharmacists
Author: Broadhurst, L.
Lowe, A.
Coates, D.
Cunningham, S.
McDonald, M.
Vesk, P.
Yates, C.
Citation: Drug and Alcohol Review, 2008; 27(1):47-53
Publisher: Carfax Publishing
Issue Date: 2008
ISSN: 0959-5236
Statement of
Peter Lawrinson; Ann Roche; Hiroe Terao; Phuong-Phi Le
Abstract: <h4>Introduction and aims</h4>Community-based pharmacists (CPs) play a pivotal role in the provision of opioid substitution treatment (OST). This study examined practices, experiences, attitudes and intentions of a sample of South Australian pharmacists involved with the provision of OST.<h4>Design and methods</h4>A random sample, stratified by geographic location, of 50 SA CPs were administered a telephone survey. The survey included pharmacist and pharmacy details, current practices, problems experienced, attitudes towards and future intentions in relation to the provision of OST.<h4>Results</h4>Pharmacists indicated high levels of support for the OST programme and most (98%) intended to continue providing OST. Sixty-four per cent of all pharmacists, and significantly more rural pharmacists (90%), indicated that they were willing to take on additional clients. Metropolitan pharmacists dosed greater numbers of OST clients (median = 7) than rural pharmacists (median = 4). There was a strong positive correlation between number of regular clients seen and problems experienced by pharmacists. Seventy per cent of pharmacists reported detecting no diversion of pharmacotherapy medication.<h4>Discussion and conclusions</h4>Despite reports to the contrary, pharmacists appear to be generally positively predisposed to providing OST. Policies aimed at retaining pharmacists, particularly in resource poor rural areas, could consider embracing a shared-care approach between general practitioners and pharmacists.
Keywords: Humans; Opioid-Related Disorders; Methadone; Buprenorphine; Narcotics; Attitude of Health Personnel; Health Knowledge, Attitudes, Practice; Demography; Telephone; Adult; Aged; Middle Aged; Pharmacists; Community Pharmacy Services; Professional Practice Location; Delivery of Health Care; South Australia; Female; Male; Surveys and Questionnaires
RMID: 0020080116
DOI: 10.1080/09595230701710852
Appears in Collections:Earth and Environmental Sciences publications
Environment Institute Leaders publications

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