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首页> 外文期刊>Journal of substance abuse treatment >The cost of concordance with opiate substitution treatment guidelines.
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The cost of concordance with opiate substitution treatment guidelines.

机译：与阿片替代治疗指南一致的费用。

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The Multisite Opiate Substitution Treatment study compared four opioid substitution programs that were highly concordant with clinical practice guidelines to four programs that were less concordant. Program staff were surveyed, and consenting new patients from highly concordant (n = 164) and less-concordant programs (n = 91) were assessed. After 12 months, treatment of new clients of highly staffed, guideline concordant sites cost Dollars 10,252, which is significantly more than the Dollars 6,476 cost at less-concordant programs (p < .01). Clients at highly concordant sites received significantly more group visits (M = 37.0 vs. 13.1, p < .01) but fewer dosing visits. There were no significant differences in medical care costs. Opioid substitution therapy was effective at reducing heroin use, especially at sites that were highly concordant with treatment guidelines. Annual mortality was 3.0% and did not differ by type of care. Preference-based quality of life significantly improved only at highly concordant sites.
机译：多部位阿片类药物替代治疗研究比较了四个与临床实践指南高度一致的阿片类药物替代方案与四个不太一致的阿片类药物替代方案。对计划人员进行了调查，并对高度一致（n = 164）和不太一致（n = 91）的新患者进行了评估。 12个月后，对人员配备高，准则一致的站点的新客户进行处理的费用为10,252美元，这大大高于不那么一致的计划的6,476美元的费用（p <.01）。高度协调的站点上的客户进行小组访问的次数显着增加（M = 37.0与13.1，p <.01），但给药访问的次数较少。医疗费用没有显着差异。阿片类药物替代疗法可有效减少海洛因的使用，尤其是在与治疗指南高度一致的部位。年死亡率为3.0％，并且按护理类型无差异。仅在高度协调的场所，基于偏爱的生活质量才得到显着改善。

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