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[Is methadone maintenance provided by private practitioners effective?].

Rudolf Stohler1, Carlos Nordt, Luis Falcato

  • 1Psychiatrische Universitätsklinik Zürich, Sektor West und Zentrale Sozialpsychiatrische Dienste, Zürich. stohler@spd.unizh.ch

Sozial- Und Praventivmedizin
|September 11, 2004
PubMed
Summary
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Methadone maintenance treatment (MMT) provided by private practitioners shows longer patient retention than specialized institutions. This suggests private practitioners are effective in MMT, warranting further support.

Area of Science:

  • Addiction medicine
  • Public health

Background:

  • Private practitioners can increase access to methadone maintenance treatment (MMT).
  • The effectiveness of MMT delivered by private practitioners remains debated.

Purpose of the Study:

  • To compare patient retention rates between private practitioners and specialized institutions for MMT.
  • To evaluate the effectiveness of MMT based on provider type.

Main Methods:

  • Retrospective analysis of a case register for MMT.
  • Kaplan-Meier survival estimates and Cox-regression analysis were used.
  • Data included MMT cases from January 1, 1997, to December 31, 1999.

Main Results:

  • MMT by private practitioners demonstrated significantly longer patient retention.

Related Experiment Videos

  • This finding held true even after controlling for patient characteristics.
  • Specialized institutions showed shorter retention times compared to private practices.

    • Conclusions:

    • The study supports the involvement of private practitioners in MMT.
    • Enhanced professional and financial support for private practitioners could improve MMT participation and outcomes.
    • Integrating private practitioners into MMT services is a viable strategy to improve treatment accessibility and effectiveness.