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Changes in the use of medical services and prescription drugs among heroin users over two years.

机译:海洛因使用者两年来使用医疗服务和处方药的变化。

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摘要

The study aimed to determine patterns of use of medical services and prescriptions for pharmaceuticals among 438 heroin users interviewed for the Australian Treatment Outcome Study (ATOS) at baseline, 12 and 24 months. Drug use declined markedly, and there were significant improvements in health. There were declines in the proportion of participants who had attended a general practitioner (GP) (baseline: 60%, 12 months: 53%, 24 months: 52%), who had an ambulance attendance (11%, 7%, 5%), and who were treated in an accident and emergency department (11%, 6%, 5%). While there was no decrease in the proportion who obtained a prescription (47%, 45%, 46%), there was a decrease in the mean number of reported prescriptions obtained (2.3, 1.0, 0.9). There were also differences across follow-up in the reported types of medications obtained, with a significant decrease in the proportion obtaining psychotropic medications (38%, 21%, 19%). In particular, there were large declines in the proportion who reported benzodiazepines (30%, 12%, 10%) or narcotic analgesics (8%, 3%, 4%) on prescription. While ATOS participants continued to be frequent users of health services, the cohort reported reduced levels of drug-seeking and risk commensurate with their reductions in drug use.
机译:该研究旨在确定在基线,12和24个月接受澳大利亚治疗结果研究(ATOS)采访的438名海洛因使用者中医疗服务和药物处方的使用方式。毒品使用显着下降,健康状况显着改善。参加过急诊就诊的全科医生的比例有所下降(基线:60%,12个月:53%,24个月:52%) ),以及在急症室接受治疗的人(11%,6%,5%)。虽然获得处方的比例没有减少(47%,45%,46%),但是报告的获得处方的平均数量却有所减少(2.3、1.0、0.9)。所报道的所用药物的随访类型之间也存在差异,获得精神药物的比例显着下降(38%,21%,19%)。特别是,按处方报告苯二氮卓类药物(30%,12%,10%)或麻醉性镇痛药(8%,3%,4%)的比例大幅度下降。尽管ATOS参与者仍然是卫生服务的经常使用者,但该队列报告的吸毒水平下降和风险与其吸毒量的减少相称。

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