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Published on: January 22, 2016
[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
Objectives:
Involvement of private practitioners in methadone maintenance treatment (MMT) enhances its availability. However, effectiveness of such treatments is still debated.
Methods:
A retrospective case register analysis comparing the retention of private practices with that of specialised institutions. All methadone maintenance treatment starting between January 1, 1997 and December 31, 1999. Kaplan-Meier survival estimates to test for different retention times; Cox-regression procedure to control for baseline differences between the two populations.
Results:
Even after controlling for distinct patient characteristics, MMT by private practitioners resulted in a longer retention time.
Conclusion:
Our findings favour the involvement of private practitioners. Providing better professional and financial support may enhance their participation.
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