title: [Consensus on care for the users of the Maintenance Program with Methadone at the health centers of the province of Cádiz].
abstract: OBJECTIVE
  To reach a consensus on primary care actions concerning transmissible illnesses in users of the methadone maintenance programme. To promote coordination between levels. To find the needs of primary care professionals.
  
  
  METHODS
  Qualitative study based on the nominal group technique.
  
  
  METHODS
  Cádiz province, including primary care districts, NHS hospitals and county drug-dependency centres.
  
  
  METHODS
  76 health professionals: two doctors and a nurse from each health centre, selected for their experience and motivation; hospital specialists in preventive medicine and internal medicine also with experience and motivation, and with knowledge of primary care; a doctor from each county drug-dependency centre, chosen by the Provincial Drug-Dependency Management.
  
  
  METHODS
  The study had two phases: a) nominal group technique with homogeneous groups for each professional environment; b) modified nominal group with heterogeneous groups of professionals from all environments by hospital areas.
  
  
  RESULTS
  The final result of the study was the overall consensus in the four areas. The prioritized activities focused on "recruitment and study of patients and contacts", "educational and health promotion interventions", "immunisation programme", "monitoring therapy compliance", and "unified record of actions". What was needed to put into practice the interventions was agreed by consensus.
  
  
  CONCLUSIONS
  Consensus techniques are a useful tool for planning primary care activities. A high degree of reproducibility can be reached if the participants are properly selected. Restrictions in being able to introduce some of the agreed interventions could be avoided with user participation and involvement of the health authorities.
authors.affiliation: Unidad Docente Provincial de Medicina Familiar y Comunitaria de Cádiz.
authors.forename: B
authors.initials: B
authors.lastname: Lahoz Rallo
authors.forename: G
authors.initials: G
authors.lastname: Moratalla Rodríguez
authors.forename: C
authors.initials: C
authors.lastname: Lineros
authors.forename: C
authors.initials: C
authors.lastname: Barros Rubio
mesh_terms: D006801:Humans; D008691:Methadone / Q000627:therapeutic use*; D009294:Narcotics / Q000627:therapeutic use*; D011159:Population Surveillance; D016730:Program Development; D013030:Spain; D019966:Substance-Related Disorders / Q000188:drug therapy*
chemical_list: D009294:Narcotics; D008691:Methadone
vernacular_title: Consenso para la atención a los usuarios del Programa de Mantenimiento con Metadona en los centros de salud de la provincia de Cádiz.