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A geographic analysis of methadone treatment utilization in Hong Kong.

Wong, Ngai Sze. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2008. / Includes bibliographical references (leaves 177-190). / Abstracts in English and Chinese. / ABSTRACT --- p.I / 論文摘要 --- p.II / ACKNOWLEDGEMENT --- p.III / TABLES OF CONTENTS --- p.V / LIST OF ACRONYMS --- p.IX / LIST OF TABLES --- p.X / LIST OF FIGURES --- p.XI / LIST OF APPENDICES --- p.XIII / Chapter CHPATER 1 --- INTRODUCTION --- p.1 / Chapter 1.1. --- BACKGROUND & CONTEXT --- p.2 / Chapter 1.1.1. --- Methadone Maintenance Treatment --- p.2 / Chapter 1.1.1.1. --- Definition of Methadone Maintenance Treatment --- p.2 / Chapter 1.1.1.2. --- The Role of Methadone Maintenance Treatment --- p.3 / Chapter 1.1.1.3. --- Methadone Maintenance Treatment in Hong Kong --- p.4 / Chapter 1.1.2. --- Utilization of Methadone Treatment --- p.6 / Chapter 1.1.2.1. --- Definition of Utilization --- p.6 / Chapter 1.1.2.2. --- Utilization Study in Methadone Treatment --- p.8 / Chapter 1.1.3. --- Geographic Information System Application --- p.10 / Chapter 1.2. --- STUDY AREA --- p.12 / Chapter 1.3. --- RATIONALE & SIGNIFICANCE OF STUDY --- p.15 / Chapter 1.4. --- RESEARCH QUESTIONS --- p.17 / Chapter 1.5. --- RESEARCH OBJECTIVES --- p.18 / Chapter 1.6. --- STUDY PROCEDURES --- p.21 / Chapter 1.7. --- STRUCTURE OF THE STUDY --- p.23 / Chapter CHAPTER 2 --- LITERATURE REVIEW OF METHADONE TREATMENT UTILIZATION STUDY --- p.25 / Chapter 2.1 --- METHADONE TREATMENT UTILIZATION STUDIES --- p.26 / Chapter 2.1.1 --- Individual Determinants --- p.27 / Chapter 2.1.1.1 --- Predisposing Factors --- p.27 / Chapter 2.1.1.1 --- Enabling Factors --- p.29 / Chapter 2.1.1.2 --- Illness Level --- p.31 / Chapter 2.1.2 --- Health Service System --- p.35 / Chapter 2.1.2.1 --- Resource --- p.35 / Chapter 2.1.1.1 --- Organization --- p.36 / Chapter 2.2 --- ANALYSIS METHODS IN METHADONE TREATMENT UTILIZATION STUDIES --- p.40 / Chapter 2.2.1 --- Common Measures --- p.40 / Chapter 2.2.2 --- Study Approach --- p.41 / Chapter 2.2.3 --- Analysis Methods --- p.42 / Chapter 2.2.4 --- Geographic Information System --- p.43 / Chapter 2.3 --- METHADONE TREATMENT UTILIZATION STUDY IN HONG KONG --- p.44 / Chapter 2.4 --- SUMMARY OF LITERATURE REVIEW --- p.45 / Chapter CHAPTER 3 --- METHODOLOGY --- p.46 / Chapter 3.1. --- DEFINITION OF UTILIZATION AND LOCAL UTILIZATION --- p.47 / Chapter 3.2. --- CONCEPTUAL FRAMEWORK FOR MMT UTILIZATION --- p.50 / Chapter 3.2.1. --- Framework Selection --- p.50 / Chapter 3.2.2. --- Components of Andersen & Newman,s Framework for Health Service Utilization --- p.52 / Chapter 3.3. --- DATA SOURCE --- p.54 / Chapter 3.3.1. --- Official Data --- p.55 / Chapter 3.3.2. --- Survey --- p.56 / Chapter 3.3.3. --- Interviews --- p.57 / Chapter 3.3.4. --- Case Study-Survey in a Methadone Clinic in Tai Po --- p.57 / Chapter 3.3.4.1. --- Survey Subject --- p.57 / Chapter 3.3.4.2. --- Rationale for the Survey --- p.58 / Chapter 3.3.4.3. --- Sampling Methods --- p.59 / Chapter 3.3.4.4. --- Questionnaire Design --- p.61 / Chapter 3.3.5. --- Digitized Maps --- p.62 / Chapter 3.4. --- DATA PROCESSING AND MANAGEMENT --- p.63 / Chapter 3.4.1. --- District Utilization and Local Utilization Calculation --- p.63 / Chapter 3.4.2. --- Questionnaire Data Processing --- p.63 / Chapter 3.4.2.1. --- Data Entry & Coding --- p.63 / Chapter 3.4.2.2. --- Digitizing a GIS Layer --- p.64 / Chapter 3.4.2.3. --- Estimated Location of User Home --- p.64 / Chapter 3.4.2.4. --- Sufficiency Level --- p.67 / Chapter 3.4.3. --- Database Management --- p.68 / Chapter 3.5. --- TECHNIQUES TO ANALYZE DATA --- p.70 / Chapter 3.5.1. --- Descriptive Analysis for Spatiotemporal Utilization Pattern --- p.70 / Chapter 3.5.2. --- Quantitative Analysis for Factor Exploration --- p.70 / Chapter 3.5.2.1. --- Assumptions for Correlation and Regression Analysis --- p.70 / General Assumptions --- p.70 / Data Assumptions --- p.72 / Factor Assumptions --- p.73 / Chapter 3.5.2.2. --- Factors Included in the Study Framework --- p.74 / Societal Determinants --- p.75 / Health Services System --- p.76 / Individual Determinants --- p.78 / Chapter 3.5.2.3. --- Pearson´ةs Correlation --- p.80 / Chapter 3.5.2.4. --- Multiple Stepwise Linear Regression --- p.81 / Chapter 3.5.3. --- Quantitative Analysis for Spatial Factor Study --- p.84 / Chapter 3.5.3.1. --- Catchments --- p.84 / Chapter 3.5.3.2. --- Spatial Autocorrelation --- p.89 / Chapter 3.5.4. --- Curve Estimation --- p.90 / Chapter 3.6. --- GIS Customized Tools --- p.90 / Chapter 3.6.1. --- GIS System Literature Review --- p.90 / Chapter 3.6.2. --- Customized Tools Design --- p.92 / Chapter CHAPTER 4 --- ANALYSIS OF MMT UTILIZATION: A CASE STUDY IN HONG KONG … --- p.95 / Chapter 4.1. --- GENERAL DESCRIPTION --- p.96 / Chapter 4.2. --- HEROIN ADDICTION IN HONG KONG --- p.98 / Chapter 4.2.1. --- Spatiotemporal Pattern of Heroin Addiction --- p.98 / Chapter 4.2.2. --- Characteristics of Heroin Users in Hong Kong --- p.103 / Chapter 4.3. --- MMT USERS IN HONG KONG --- p.107 / Chapter 4.3.1. --- Characteristics of Methadone Clinics --- p.107 / Chapter 4.3.2. --- Characteristics of MMT Users --- p.108 / Chapter 4.3.2.1. --- Predisposing Factors of MMT Users --- p.108 / Chapter 4.3.2.2. --- Spatial movement of MMT user --- p.108 / Chapter 4.3.2.3. --- Clinic Environment-Gathering Place --- p.108 / Chapter 4.3.2.4. --- Unique Clinics --- p.109 / Chapter 4.3.3. --- Spatiotemporal Patterns of MMT Users --- p.110 / Chapter 4.4. --- INDIVIDUAL UTILIZATION STUDY - SURVEY IN A METHADONE CLINIC IN TAIPO --- p.114 / Chapter 4.4.1. --- Methadone Clinic Users in Tai Po --- p.114 / Chapter 4.4.2. --- Characteristics of Respondents --- p.114 / Chapter 4.4.2.1. --- Demographic Characteristics --- p.114 / Chapter 4.4.2.2. --- Utilization Level --- p.115 / Chapter 4.4.2.3. --- Spatial Factors and Distribution --- p.116 / Chapter 4.4.3. --- Factors Affecting the Utilization of Tai Po Methadone Clinic --- p.120 / Chapter 4.5. --- CATCHMENTS OF METHADONE CLINICS IN HONG KONG --- p.122 / Chapter 4.5.1. --- Voronoi polygons --- p.123 / Chapter 4.5.2. --- Network Analysis based on travel time --- p.124 / Chapter 4.5.2.1. --- Catchments of Methadone Clinic in Tai Po --- p.125 / Chapter 4.5.2.2. --- Projected Catchments for All Clinics in Hong Kong --- p.126 / Chapter 4.6. --- SPATIOTEMPORAL PATTERN AND SPATIAL RELATIONS OF MMT UTILIZATION --- p.128 / Chapter 4.6.1. --- MMT Utilization --- p.128 / Chapter 4.6.2. --- MMT Local Utilization --- p.131 / Chapter 4.6.3. --- Spatial Relations of MMT Utilization --- p.133 / Chapter 4.7. --- PREDICTORS OF MMT UTILIZATION AND LOCAL UTILIZATION --- p.134 / Chapter 4.7.1. --- Health Care Systems --- p.135 / Chapter 4.7.1.1. --- Resource --- p.135 / Operating Hours --- p.135 / Nearest clinic distance --- p.137 / Distance between a clinic and its nearest clinic in other districts --- p.138 / Chapter 4.7.1.2. --- Accessibility --- p.138 / Chapter 4.7.2. --- Individual Determinants --- p.139 / Chapter 4.7.2.1. --- Predisposing Determinants --- p.140 / Age --- p.140 / Gender --- p.140 / Education --- p.141 / Chapter 4.7.2.2. --- Behavioral Determinant´ؤInjection --- p.141 / Chapter 4.8. --- FUTURE MMT UTILIZATION IN HONG KONG --- p.143 / Chapter 4.9. --- SERVICE GAPS --- p.144 / Chapter 4.10. --- SUMMARY OF STUDY RESULTS --- p.152 / Chapter CHAPTER 5 --- DISCUSSION --- p.153 / Chapter 5.1. --- DISCUSSIONS ON THE RELEVANCE OF UTILIZATION PREDICTORS --- p.154 / Chapter 5.2. --- DISCUSSIONS ON METHADONE CLINIC CLOSURE --- p.159 / Chapter 5.3. --- RESEARCH LIMITATION --- p.164 / Chapter 5.3.1. --- Data Limitation --- p.164 / Chapter 5.3.2. --- Time & Resource Limitation --- p.165 / Chapter 5.3.3. --- Technical Limitation --- p.165 / Chapter 5.4. --- RECOMMENDATIONS --- p.167 / Chapter 5.4.1. --- Recommendations for Methadone Treatment System --- p.167 / Chapter 5.4.2. --- For the Society --- p.169 / Chapter 5.4.3. --- For Further Study --- p.172 / Chapter CHAPTER 6 --- CONCLUSION --- p.174 / BIBLIOGRAPHY --- p.177 / APPENDICES --- p.191

Identiferoai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_326296
Date January 2008
ContributorsWong, Ngai Sze., Chinese University of Hong Kong Graduate School. Division of Geography and Resource Management.
Source SetsThe Chinese University of Hong Kong
LanguageEnglish, Chinese
Detected LanguageEnglish
TypeText, bibliography
Formatprint, xiii, 214 leaves : ill. (some col.), maps (some col.) ; 30 cm.
CoverageChina, Hong Kong, China, Hong Kong
RightsUse of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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