Deck Dennis, Wiitala Wyndy, McFarland Bentson, Campbell Kevin, Mullooly John, Krupski Antoinette, McCarty Dennis
RMC Research Corporation, Portland, OR 97201, USA.
J Addict Dis. 2009;28(2):89-102. doi: 10.1080/10550880902772373.
A modest number of clinics in Oregon and Washington provide MMT maintenance treatment (MMT) services. More than 10,000 clients in each state were followed for 3 years after an initial admission for opiate use between 1993 and 2000. Medicaid clients in both states had far greater access to MMT than their non-Medicaid counterparts, controlling for differences in client characteristics using propensity scores. Months in MMT were associated with much lower arrest rates than time not in treatment, but unexpectedly this was only true for clients participating in MMT for many months. Despite differences in the treatment systems for opiate addiction in these two states observed in previous studies, the current findings generalized across both states.
俄勒冈州和华盛顿州有数量不多的诊所提供美沙酮维持治疗（MMT）服务。在1993年至2000年期间，每个州超过10000名因使用阿片类药物首次入院的患者被随访了3年。通过倾向得分控制患者特征差异后，两个州的医疗补助患者比非医疗补助患者获得MMT的机会要多得多。接受MMT治疗的月份与远低于未接受治疗时期的被捕率相关，但出乎意料的是，这仅适用于接受MMT治疗多个月的患者。尽管先前研究观察到这两个州阿片类药物成瘾治疗系统存在差异，但目前的研究结果在两个州都具有普遍性。
