title: Accessibility versus quality of care plus retention: the formula for service delivery in Australian opioid replacement therapy?
abstract: The aim of this paper is to investigate how Australian Opioid Replacement Therapy (ORT) policy influences access to ORT treatment, including the resources required for implementation. In doing so, we also compare the accessibility of ORT treatment in Australia (AU) with ORT in the United Kingdom (UK) and United States (US). A review of government data and policy that influence service delivery was undertaken. When comparing across AU, the UK, and the US, we found several differences. To improve access to treatment in Australia more general practitioners need to provide ORT. Additionally, criteria for quality care, a centralised intake system, a national ORT treatment outcome measure, and a shift towards a recovery focus are recommended.
authors.affiliation: Central Queensland University Australia, Institute for Health and Social Science Research and Queensland Health Gold Coast Alcohol and Other Drugs Services, Rockhampton, Australia.
authors.forename: Warren
authors.initials: W
authors.lastname: Harlow
authors.forename: Marian W
authors.initials: MW
authors.lastname: Roman
authors.forename: Brenda
authors.initials: B
authors.lastname: Happell
authors.forename: Graeme
authors.initials: G
authors.lastname: Browne
mesh_terms: D001315:Australia; D003431:Cross-Cultural Comparison; D003695:Delivery of Health Care; D058006:General Practice; D006291:Health Policy; D006297:Health Services Accessibility; D006801:Humans; D058850:Opiate Substitution Treatment / Q000451:nursing*; D009293:Opioid-Related Disorders / Q000451:nursing* / Q000534:rehabilitation*; D011787:Quality of Health Care; D006113:United Kingdom; D014481:United States