Academic Journal
A scoping review of opioid agonist treatment in Australian general practice.
| Τίτλος: | A scoping review of opioid agonist treatment in Australian general practice. |
|---|---|
| Συγγραφείς: | Jennings W; General Practice Clinical Unit, The University of Queensland, Herston, Qld 4006, Australia.; Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Metro South Health, Queensland Health, Inala, Qld 4077, Australia., Panahi I; School of Public Health, The University of Queensland, Herston, Qld 4006, Australia., Piatkowski T; Centre for Health Services Research, University of Queensland, Herston, Qld 4006, Australia., Wirtz C; University of Queensland Medical School, The University of Queensland, Herston, Qld 4006, Australia., Ting D; University of Queensland Medical School, The University of Queensland, Herston, Qld 4006, Australia., Spurling G; General Practice Clinical Unit, The University of Queensland, Herston, Qld 4006, Australia.; Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Metro South Health, Queensland Health, Inala, Qld 4077, Australia. |
| Πηγή: | Australian journal of primary health [Aust J Prim Health] 2026 Aug 17; Vol. 32 (4). |
| Τύπος έκδοσης: | Scoping Review; Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Australian Journal of Public Health, Australian Institute for Primary Care, La Trobe University Country of Publication: Australia NLM ID: 101123037 Publication Model: Print Cited Medium: Internet ISSN: 1836-7399 (Electronic) Linking ISSN: 14487527 NLM ISO Abbreviation: Aust J Prim Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Bundoora, Vic. : Australian Journal of Public Health, Australian Institute for Primary Care, La Trobe University, c2001- |
| Ιατρικοί όροι (MeSH): | General Practice*/methods , Opioid-Related Disorders*/drug therapy , Opiate Substitution Treatment*/methods , Analgesics, Opioid*/therapeutic use, Humans ; Australia ; Primary Health Care ; Practice Patterns, Physicians' |
| Περίληψη: | In Australia, opioid use disorder is a major public health concern, and opioid agonist treatment (OAT) is an effective and evidence-based approach for treating opioid use disorder, reducing morbidity, mortality and societal cost. In Australia, 60% of OAT prescribing occurs in general practice, but significant barriers exist. This scoping review aimed to find research describing the characteristics and evaluation of different models of primary care-based OAT in Australia. Following the PRISMA guidelines for scoping reviews, a systematic search was conducted of PubMed, Embase, Scopus and CINAHL, and several grey literature databases. We conducted a narrative synthesis, and derived study themes inductively from included studies. We identified 24 relevant articles over 34 years that reported primary research on general practice-based OAT. Seven studies evaluated general practice OAT; eight examined prescriber attitudes, behaviour and workforce; two described single-models of care; four investigated primary care OAT policy; and two studies examined consumer experiences. The studies showed primary care OAT was as effective as specialist care for retention in OAT; however, prescriber deficits exist, with lack of remuneration and stigma identified as common barriers. The multidisciplinary models of care all received external funding, with GPs well placed, but underfunded, to coordinate care. The limited research demonstrates research gaps in service delivery, models of care, funding and views of people who use drugs. Future research scope needs to be broadened to encompass improved national monitoring datasets, patient views, models of care, holistic support and coordination, and structural supports to recruit and retain active prescribers. (© 2026 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University.) |
| Contributed Indexing: | Keywords: Australia; general practice; models of care; opiate substitution treatment; opioid use disorder; opioid-related disorders; primary health care; scoping review |
| Substance Nomenclature: | 0 (Analgesics, Opioid) |
| Entry Date(s): | Date Created: 20260628 Date Completed: 20260628 Latest Revision: 20260628 |
| Update Code: | 20260629 |
| DOI: | 10.1071/PY25274 |
| PMID: | 42365522 |
| Βάση Δεδομένων: | MEDLINE |
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