نبذة مختصرة : International audience ; Introduction: Opioid Use Disorder (OUD) affects 16 million people worldwide and stems from the repeateduse of opioids. Although standard care for OUD is based on harm reduction policy and relies on Opioid Maintenance Treatment, opioid detoxification still has some advantages over OMT. However, little is known aboutthe medical community’s views on this specific topic of the current advantages of detoxification.Objective: The objective of this study is to collect the views of GPs on detoxification and identify the facilitators, barriers and strategies associated with detoxification.Methods: We conducted a qualitative study using semi-structured in-person interviews with fifteenFrench GPs. After a triple-blind thematic analysis, main themes and sub-themes were selected after consensual agreement. We conducted an in-depth analysis of the discourse favouring an interdisciplinaryapproach.Results: The main themes are: GPs’ views on detoxification, facilitators, barriers and strategies associatedwith detoxification. Detoxification is seen through OMT tapering or inpatient detoxification. Facilitators ofdetoxification include a steady environment, sufficient motivation and trust. Barriers to detoxificationinclude abuse of OMT, polydrug use, long periods of drug use and pregnancy. Alleged obstacles include lackof availability/knowledge and difficulty having access to specialised care. Strategies facilitating detoxificationinclude a coordinated healthcare circuit involving multiple providers in a dedicated healthcare facility andthe practice of physical activity.Conclusion:Detoxification is perceived through OMT tapering or inpatient detoxification. The conditions ofpractice influence the implementation of detoxification. This study shows that detoxification is possible inprimary care in dedicated outpatient practices coordinated by GPs.
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