title: Advantages and disadvantages of the alternatives of private practice, public health office and clinic out-patient department as dispensaries for methadone substitution of drug users.
abstract: In Germany, methadone substitution will be expanded considerably. Pilot projects and single private practitioners collected first experiences. Other programmes and practitioners follow, since important obstacles have been removed. Instead of individual solutions for limited numbers, broader concepts must be developed. Private practice, public health office and clinic out-patient departments each offer advantages and disadvantages. In several surveyed cities, there are a variety of substitution facilities and no general solution. Local facilities have to be examined for their advantages and disadvantages and should be connected cooperatively--e.g. containing a central out-patient department and a number of private practitioners--to serve the needs of the patients and the efficacy of the system.
authors.affiliation: I. Med. Klinik, Städtische Krankenanstalten Mitte, Bielefeld, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Bornemann
mesh_terms: D000554:Ambulatory Care Facilities / Q000458:organization & administration; D005858:Germany; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D008691:Methadone / Q000627:therapeutic use*; D008952:Mobile Health Units; D010594:Pharmacies / Q000458:organization & administration*; D010865:Pilot Projects; D011331:Private Practice / Q000458:organization & administration; D011635:Public Health Administration; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000534:rehabilitation*
chemical_list: D008691:Methadone