碩士 / 臺灣大學 / 醫療機構管理研究所 / 98 / OBJECTIVE: To determine factors associated with retention in treatment and change of daily amount of heroin abused in heroin-dependent patients receiving Methadone Maintenance Treatment for three months.
METHODS: This is a prospective cohort study. Participants were from 5 hospitals with larger case numbers of Methadone Maintenance Treatment (MMT) in Taiwan. Participants were patients never received MMT before or had already dropped out from previous treatments for at least 6 months. Questionnaire including demographic data and Opiate Treatment Index (OTI) were distributed to 333 patients at the beginning of the treatment course from June to September 2009. Three months later, the OTI were re-interviewed for127 patients remained in the MMT for 3 months from September to December 2009.
RESULTS: After 3 months, heroin use with smoking was associated with higher rates of discontinuing treatment compared with heroin use with injection. Dropout rates among hospitals were significantly different. More reduction in heroin use after 3-month treatment was associated with higher amount of heroin use when entering the treatment. Better self-perception of physical wellbeing at the beginning was associated with less reduction in heroin use 3 months later.
CONCLUSION: Methadone has greater effect on reducing heroin use in patients abusing more amounts of heroin. The policy makers might encourage heroin-dependent patients to continue treatment and it will benefit those patients, their families and even the whole society. Since patients abusing heroin with different routes have significant difference in dropout rates, the diversity of patient composition among different hospitals should be considered in evaluating their performance with indicator of retention rates. There are differences of some effectiveness indicators among those hospitals participating in the study. Reviewing current service procedures and improving accessibility for those patients might help reducing dropout rates and finally the amounts of heroin use.
| Identifer | oai:union.ndltd.org:TW/098NTU05529010 |
| Date | January 2010 |
| Creators | Shuo-Yen Ting, 丁碩彥 |
| Contributors | 楊銘欽 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 84 |
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