Premature discharge from methadone treatment: patient perspectives.
Premature discharge from methadone treatment: patient perspectives.
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DOI：
10.1080/02791072.2009.10400539
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发表时间：
2009-09
影响因子：
2.8
通讯作者：
Agar MH
中科院分区：
文献类型：
--
作者：
Reisinger HS;Schwartz RP;Mitchell SG;Peterson JA;Kelly SM;O'Grady KE;Marrari EA;Brown BS;Agar MH
药物滥用治疗的长期保留与更好的患者结果相关，研究表明美沙酮治疗的前12个月对患者的成功至关重要。然而，过去三十年的大规模多地点纵向研究表明，大多数患者在美沙酮治疗的第一年内退出。通过检查42定性访谈患者提前出院的6个美沙酮治疗方案在巴尔的摩，本文强调的因素，患者描述为有助于他们的原因在第一个12个月内出院的治疗。两个最一致的主题是与方案有关的因素和监禁。前一个因素通过患者的话语进行了丰富的描述，并强调了患者对程序和药物施加的控制的感知以及对程序结构的误解可能导致过早出院的方式。将患者的出院原因与出院总结表中注明的辅导员的原因进行比较。的模式的协议和不同意的分析。以病人为中心的计划和政策影响进行了讨论。
Longer retention in drug abuse treatment is associated with better patient outcomes and research indicates the first 12 months of methadone treatment are critical to patient success. Nevertheless, large-scale multi-site longitudinal studies over the past three decades indicate that the majority of patients drop out during the first year of methadone treatment. Through an examination of 42 qualitative interviews with patients prematurely discharged from six methadone treatment programs in Baltimore, this paper highlights factors patients describe as contributing to their reasons for being discharged within the first 12 months of the treatment. The two most consistent themes are program-related factors and incarceration. The former factors are richly described through patients’ words and underscore the ways in which patients’ perceptions of control exerted by the program and by the medication and misunderstandings of program structure can lead to premature discharge. Patients’ reasons for discharge were compared to counselors’ reasons as indicated in discharge summary forms. An analysis of the patterns of agreement and disagreement are presented. Patient-centered program and policy implications are discussed.