[From "Burden of disease" research to the conception of an integrated care system for substance abuse in Ontario].
The paradigm of evidence-based medicine has become one of the building blocks of modern health policy in established market economies. Based on this paradigm, a monitoring system for treatment of substance abuse has been developed in the Canadian province of Ontario. This monitoring system comprises four main elements: availability of treatment places, utilization of specialized health services, costs of treatment and outcome indicators. The paper discusses difficulties in implementing the system and gives some indications on future developments.
Rehm
J
J
Institut für Suchtforschung, Zürich/Schweiz, Switzerland. jtrehm@isf.unizh.ch
D000554:Ambulatory Care Facilities / Q000191:economics / Q000706:statistics & numerical data; D003156:Community Mental Health Services / Q000458:organization & administration* / Q000639:trends; D003363:Cost Control; D017281:Cost of Illness; D019317:Evidence-Based Medicine; D006284:Health Plan Implementation; D006297:Health Services Accessibility; D006760:Hospitalization / Q000191:economics / Q000639:trends; D006801:Humans; D007256:Information Systems / Q000458:organization & administration*; D009864:Ontario; D017063:Outcome Assessment, Health Care / Q000379:methods; D012041:Regional Medical Programs / Q000458:organization & administration; D019966:Substance-Related Disorders / Q000534:rehabilitation / Q000628:therapy*
Von der "Burden of Disease"-Forschung zur Konzeption eines integrierten Versorgungssystems für Substanzabusus am Beispiel Ontario.