Perceptions, professional responsibility and management experiences of patients with alcohol, tobacco and opioid use disorder by residents in general practice and teaching general practitioners

Figures & data

Table 1. Perceptions, professional responsibility according to substance by teaching GPs and residents.

	Teaching GPs (n = 238)				Residents (n = 327)
	Tobacco Mean score (SD)	Alcohol Mean score (SD)	Opioids Mean score (SD)	p Values^a	Tobacco Mean score (SD)	Alcohol Mean score (SD)	Opioids Mean score (SD)	p Values^a
Perceptions
Patient’s responsibility, score 1-100 (1 = fully victim, 100 = fully responsible)	59 (23)	54 (23)	54 (24)	0.0001^b 0.0002^c 0.9722^d	60 (23)	53 (22)	53 (25)	0.0001^b 0.0001^c 0.8557^d
‘I find it easy to approach substance use with a patient who does not talk about it spontaneously’ (0 fully disagree, 100 fully agree)	89 (15)	69 (23)	61 (29)	0.0001^b 0.0001^c 0.0001^d	85 (17)	62 (23)	52 (25)	0.0001^b 0.0001^c 0.0001^d
‘I feel capable of managing this patient’ (0 fully disagree, 100 fully agree)	77 (19)	60 (24)	42 (30)	0.0001^b 0.0001^c 0.0001^d	65 (22)	46 (22)	33 (23)	0.0001^b 0.0001^c 0.0001^d
Professional responsibility
‘it’s my responsibility to do so’ (0 fully disagree, 100 fully agree)	92 (10)	87 (16)	79 (24)	0.0001^b 0.0001^c 0.0001^d	90 (12)	86 (15)	81 (21)	0.0001^b 0.0001^c 0.0001^d

^apairwise comparisons using matched student t-test or the non-parametric Wilcoxon rank sum test, with adjusted threshold for the p-value after Bonferroni correction: 0.0167.

^bP-value associated with pairwise comparisons tobacco vs. alcohol.

^cP-value associated with pairwise comparisons tobacco vs. opioids.

^dP-value associated with pairwise comparisons alcohol vs. opioids.

Table 2. Management experiences according to substance by teaching GPs and residents.

	Teaching GPs (n = 238)				Residents (n = 327)
	Tobacco % (n)	Alcohol % (n)	Opioids % (n)	p Value^a	Tobacco % (n)	Alcohol % (n)	Opioids % (n)	p Value^a
Experience of cessation				1.0000^b 0.0001^c 0.0001^d				0.0061^b 0.3770^c 0.1098^d
At least one experience of management	99 (236)	99 (236)	92 (218)		82 (269)	75 (244)	80 (261)
Never managed any patient	1 (2)	1 (2)	8 (20)		18 (58)	25 (83)	20 (66)
Practices according to cessation management				0.0001^b 0.0001^c 0.0001^d				0.0001^b 0.0001^c 0.0001^d
Single-handed management	78 (186)	17 (41)	15 (36)		74 (242)	11 (36)	8 (25)
Management in collaboration with another structure	20 (48)	80 (189)	59 (140)		18 (58)	74 (243)	66 (216)
Not usually managed any patient	2 (4)	3 (8)	26 (62)		8 (27)	15 (48)	26 (86)

^apairwise comparisons using the McNemar's test or the Fisher’s exact test, with adjusted threshold for the p-value after Bonferroni correction: 0.0167.

^bp-value associated with pairwise comparisons tobacco vs. alcohol.

^cp-value associated with pairwise comparisons tobacco vs. opioids.

^dp-value associated with pairwise comparisons alcohol vs. opioids.