Methadone maintenance treatment (MMT) in general practice or in specialized centers: profile of patients in the Swiss Canton of Vaud.
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).
Pelet
Anne
A
Saint-Martin Center, Service of Communitarian Psychiatry of the Department of Psychiatry and the University Department of Medicine and Communitarian Health, CHUV, Lausanne, Switzerland. Anne.Pelet@hospvd.ch
Doll
Sebastien
S
Huissoud
Thérèse
T
Resplendino
Janine
J
Besson
Jacques
J
Favrat
Bernard
B
D015492:AIDS Serodiagnosis; D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D019970:Cocaine-Related Disorders / Q000188:drug therapy / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D004359:Drug Therapy, Combination; D005194:Family Practice / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006509:Hepatitis B / Q000175:diagnosis; D006526:Hepatitis C / Q000175:diagnosis; D006556:Heroin Dependence / Q000188:drug therapy / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D009294:Narcotics / Q000627:therapeutic use*; D009293:Opioid-Related Disorders / Q000188:drug therapy / Q000534:rehabilitation*; D010352:Patient Dropouts; D016320:Substance Abuse Treatment Centers / Q000379:methods / Q000706:statistics & numerical data*; D015819:Substance Abuse, Intravenous / Q000188:drug therapy / Q000534:rehabilitation; D011795:Surveys and Questionnaires; D013557:Switzerland
D014150:Antipsychotic Agents; D009294:Narcotics; D008691:Methadone