Scientific article

Opioid Maintenance in Primary Care: a case register based comparison

Published inHeroin addiction and related clinical problems, vol. 15, no. 4, p. 5-14
Publication date2013

In Switzerland, opioid maintenance prescription for heroin dependence is possible since the seventies, by all licensed physicians, in specialized centers or primary care, and reimbursed by basic health insurance. Every treatment must be declared to the cantonal public health officer. Aim: The aim of our study was to compare basic facts, trends, and outcomes of mainly primary care based opioid maintenance treatment in two areas in Switzerland (Ticino, Geneva) with different health care organizations. Methods: Historical cohort study with data-collection (start, every 6 months, end) through standardized administrative databases. Results: Overall 3,824 patients (28% females) were included over a 3.5 years period. Of all treatment episodes 97% concerned methadone prescription. We observed an aging population, with no significant canton effect on retention in treatment. Prescribers practicing in or close to specialized centers were more compliant with methadone guidelines. Female patients were better retained in primary care settings. Conclusion: This study adds evidence for the effectiveness of opioid maintenance treatment in primary care, especially for female patients. Continuous education should be encouraged to increase congruence with guidelines.

  • Opioid replacement treatment
  • Buprenorphine
  • Health care structures
  • Primary care
Citation (ISO format)
BROERS, Barbara, CASSIS, Ignazio, CERUTTI, Bernard. Opioid Maintenance in Primary Care: a case register based comparison. In: Heroin addiction and related clinical problems, 2013, vol. 15, n° 4, p. 5–14.
Main files (1)
Article (Published version)
  • PID : unige:43426
ISSN of the journal1592-1638

Technical informations

Creation10/20/2014 3:54:00 PM
First validation10/20/2014 3:54:00 PM
Update time03/14/2023 10:27:11 PM
Status update03/14/2023 10:27:11 PM
Last indexation10/18/2023 9:00:06 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack