Abstract
We studied profile of patients (n=1782) treated in specialized centers and general practice (GP) enrolled in methadone maintenance treatment (MMT) programs during 2001 in the Swiss Canton of Vaud. We found that GPs treated the majority of patients (76%). Specialized centers treated a higher proportion of patients with uncontrolled intravenous use of cocaine and heroin, and prescribed neuroleptics as concomitant medication three times more frequently than GPs. Patients treated in specialized centers were more likely to undergo screening for HIV, HBV, HCV, and receive complete HBV immunization. In conclusion, specialized centers are more likely to treat severely addicted patients and patients with a poor global assessment (physical, psychiatric, and social).
Publication types
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Comparative Study
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Research Support, Non-U.S. Gov't
MeSH terms
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AIDS Serodiagnosis
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Adult
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Antipsychotic Agents / therapeutic use
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Cocaine-Related Disorders / drug therapy
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Cocaine-Related Disorders / rehabilitation
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Cross-Sectional Studies
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Drug Therapy, Combination
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Family Practice / methods
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Family Practice / statistics & numerical data*
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Female
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Follow-Up Studies
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Hepatitis B / diagnosis
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Hepatitis C / diagnosis
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Heroin Dependence / drug therapy
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Heroin Dependence / rehabilitation
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Humans
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Male
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Methadone / therapeutic use*
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Narcotics / therapeutic use*
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Opioid-Related Disorders / drug therapy
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Opioid-Related Disorders / rehabilitation*
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Patient Dropouts
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Substance Abuse Treatment Centers / methods
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Substance Abuse Treatment Centers / statistics & numerical data*
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Substance Abuse, Intravenous / drug therapy
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Substance Abuse, Intravenous / rehabilitation
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Surveys and Questionnaires
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Switzerland
Substances
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Antipsychotic Agents
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Narcotics
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Methadone