在美沙酮治疗项目中执业的医生：他们是谁，做什么？

Physicians practicing in methadone treatment programs: who are they and what do they do?

作者信息

Wechsberg W M, Flannery B, Kasten J J, Suerken C, Dunlap L, Roussel A E, Crum L, Murdoch O, Diesenhaus H

机构信息

RTI (Research Triangle Institute) International, 3040 Cornwallis Road, Research Triangle Park, NC 27709-1294, USA.

出版信息

J Addict Dis. 2004;23(2):15-31. doi: 10.1300/J069v23n02_02.

DOI:10.1300/J069v23n02_02

PMID:15132340

Abstract

OBJECTIVE

This study examines the characteristics and roles of physicians practicing in methadone maintenance treatment programs (MTPs).

METHODS

Physicians and clinic directors at 172 MTPs in the United States completed surveys. MTPs were selected for study participation based on their locations (large urban, urban, or nonurban area) ownership status (for profit and non-profit), and size (patient capacity of 1-100, 101-300, and 300+). Weighted data were analyzed with descriptive and multivariate methods. RESULTS. Physicians were primarily white males aged 45 or older; 44% had 10 or more years of experience working in methadone treatment. Physicians reported spending 26% of their time completing administrative tasks. Most reported that they determine dosing levels on an individual patient basis. Average maintenance dose was 69 mg/day.

CONCLUSIONS

Physicians' treatment practices play a major role in overall treatment, treatment retention, and outcomes. Physicians at for-profit and large urban MTPs reported spending the most time in direct patient contact.

摘要

目的

本研究探讨在美沙酮维持治疗项目（MTPs）中执业的医生的特点和作用。

方法

美国172个MTPs的医生和诊所主任完成了调查。根据其所在位置（大城市、城市或非城市地区）、所有权状况（营利性和非营利性）以及规模（患者容量为1 - 100、101 - 300和300以上）选择MTPs参与研究。采用描述性和多变量方法对加权数据进行分析。结果：医生主要是45岁及以上的白人男性；44%在美沙酮治疗领域有10年或更长时间的工作经验。医生报告称他们将26%的时间用于完成行政任务。大多数医生表示他们根据个体患者情况确定剂量水平。平均维持剂量为69毫克/天。