Table 5

Why do you refuse care for methadone treatment patients (general practitioners with no patients on methadone substitution treatment) (PWTs) (n = 231)

Question
yes

Non-compliant patients
59.7%
A specialized center is better
57.1%
Time-consuming
54.5%
Lack of specialized training
52.4%
Fear of being overwhelmed by drug-addicted patients
48.9%
Feeling of powerlessness toward drug-addicted patients
41.6%
Difficulties with authorizations (too much paperwork)
40.3%
Lack of reimbursement for medical care
38.1%
Management with other professionals too difficult
38.1%
Difficulties with accompanying psychiatric disorders
36.4%
Fear of manipulation by drug-addicted patients
33.3%
Lack of knowledge about illegal substances and medications
31.2%
Past experience of burnout with drug-addicted patients
29.4%
Fear of theft
28.1%
Fear of problems with other, non-drug-addicted patients
27.7%
Fear of being threatened in the office
24.7%
Fear of being considered "the drug-addict doctor"
11.7%
Existing centers are adequate for this population
11.3%

PWT = General practitioners without patients receiving methadone substitution treatment

Pelet et al. BMC Family Practice 2005 6:51   doi:10.1186/1471-2296-6-51