Acceptance to a family practice is key to access and continuity of care. While Canadian patients increasingly report not being able to acquire acceptance to a family practice, little is known about the association between requiring opioids and acceptance. We aim to determine the proportion of family physicians who would accept new patients who require opioids and describe physician and practice characteristics associated with willingness to accept these patients. Census telephone survey of family physicians’ practices in Nova Scotia, Canada. Measures: physician (i.e., age, sex, years in practice) and practice (i.e., number/type of provider in the practice, care hours/week) characteristics and practice-reported willingness to accept new patients who require opioids. The survey was completed for 587 family physicians (83.7% response rate). 354 (60.3%) were taking new patients unconditionally or with conditions; 326 provided a response to whether they would accept new patients who require opioids; 91 (27.9%) reported they would not accept a new patient who requires opioids. Compared to family physicians who would not accept patients who require opioids, in bivariate analysis, those who would, tended to work in larger practices; had fewer years in practice; are female; and provided more patient care. The relationship to number of providers in the practice, having a nurse, and experience persisted in multivariate analysis. The strongest predictors of willingness to accept patients who require opioids are fewer years in practice (OR = 0.96 [95% CI 0.93, 0.99]) and variables indicating a family physician has support of a larger (OR = 1.19 [95% CI 1.00, 1.42]), interdisciplinary team (e.g., nurses, mental health professionals) (OR = 1.15 [95% CI 1.11, 5.05]). Almost three-quarters (72.1%) of surveyed family physicians would accept patients requiring opioids.

中文翻译：

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接受需要阿片类药物进行家庭治疗的新患者：MAAP-NS人口普查研究的结果。

接受家庭惯例是获得护理和持续护理的关键。尽管加拿大患者越来越多地报告不能接受家庭治疗，但对阿片类药物需求与接受之间的关系知之甚少。我们的目标是确定将接受需要阿片类药物的新患者的家庭医生的比例，并描述与接受这些患者的意愿有关的医生和执业特征。对加拿大新斯科舍省家庭医生执业进行的人口普查电话调查。指标：医师（即年龄，性别，执业年限）和执业情况（即执业提供者的人数/类型，护理时间/周）和实践中所报告的接受需要阿片类药物新患者的意愿。这项调查针对587位家庭医生完成了（回复率为83.7％）。354（60。3％）无条件或有条件地接受新患者；326回应了他们是否会接受需要阿片类药物的新患者；91（27.9％）报告称他们不会接受需要阿片类药物的新患者。与不接受需要阿片类药物的患者的家庭医生相比，在双变量分析中，那些倾向于在更大的实践中工作的家庭医生；有较少的实践经验；是女性；并提供更多的患者护理。在实践中，与实践中提供者的数量，有护士和经验的关系一直存在于多变量分析中。在实践中，最愿意接受阿片类药物的患者意愿的最强预测因素是实践中的年限较短（OR = 0.96 [95％CI 0.93，0.99]），而变量表明家庭医生的支持更大（OR = 1.19 [95％CI 1.00， 1.42]），跨学科团队（例如，护士，精神卫生专业人员）（OR = 1.15 [95％CI 1.11，5.05]）。接受调查的家庭医生中，将近四分之三（72.1％）会接受需要阿片类药物的患者。