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Wie effektiv sind Methadonbehandlungen in Privatpraxen∋

Strohler, Rudolf ; Nordt, Carlos ; Falcato, Luis ; Dürsteler-MacFarland, Kenneth ; Rössler, Wulf

In: Sozial- und Präventivmedizin/Social and Preventive Medicine, 2004, vol. 49, no. 4, p. 276-280

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    Title
    • Wie effektiv sind Methadonbehandlungen in Privatpraxen∋
    Author
    • Strohler, Rudolf. Sektor West und Zentrale Sozialpsychiatrische Dienste, Psychiatrische Universitätsklinik Zürich, Militärstr. 8, 8021, Zürich, Switzerland
    • Nordt, Carlos. Sektor West und Zentrale Sozialpsychiatrische Dienste, Psychiatrische Universitätsklinik Zürich, Militärstr. 8, 8021, Zürich, Switzerland
    • Falcato, Luis. Sektor West und Zentrale Sozialpsychiatrische Dienste, Psychiatrische Universitätsklinik Zürich, Militärstr. 8, 8021, Zürich, Switzerland
    • Dürsteler-MacFarland, Kenneth. Sektor West und Zentrale Sozialpsychiatrische Dienste, Psychiatrische Universitätsklinik Zürich, Militärstr. 8, 8021, Zürich, Switzerland
    • Rössler, Wulf. Sektor West und Zentrale Sozialpsychiatrische Dienste, Psychiatrische Universitätsklinik Zürich, Militärstr. 8, 8021, Zürich, Switzerland
    Document Type
    • Postprint
    Language
    • German
    Published in
    • Sozial- und Präventivmedizin/Social and Preventive Medicine, 2004, vol. 49, no. 4, p. 276-280. Birkhäuser-Verlag
    Other Version
    OAI-PMH Identifier
    • oai:doc.rero.ch:310614
    Summary
    Summary: Objectives:Involvement of private practitioners in methadone maintenance treatment (MMT) enhances its availability. However, effectiveness of such treatments is still debated. Methods:A retrospective case register analysis comparing the retention of private practices with that of specialised institutions. All methadone maintenance treatment starting between January 1, 1997 and December 31, 1999. Kaplan-Meier survival estimates to test for different retention times; Cox-regression procedure to control for baseline differences between the two populations. Results:Even after controlling for distinct patient characteristics, MMT by private practitioners resulted in a longer retention time. Conclusions:Our findings favour the involvement of private practitioners. Providing better professional and financial support may enhance their participation