Department of Psychiatry, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Addiction Research Center, National Cheng Kung University, Tainan, Taiwan.
Department of Psychiatry, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Addiction Research Center, National Cheng Kung University, Tainan, Taiwan; Department of Psychiatry, National Cheng Kung University Hospital, Dou-Liou Branch, Yunlin, Taiwan.
Psychiatry Res. 2015 Feb 28;225(3):673-9. doi: 10.1016/j.psychres.2014.11.023. Epub 2014 Nov 24.
While methadone maintenance treatment (MMT) is beneficial for heroin dependence, there is little information regarding the reductions in monetary cost and gains in productivity following MMT. The aim of this study was to evaluate the changes in the monetary cost of heroin addiction and productivity after one year of MMT. Twenty-nine participants from an MMT clinic were included. The monetary cost, productivity, quality of life (QOL) and mental health status were assessed at both baseline and one year follow-up. The average annual total cost was approximately US$26,485 (1.43 GDP per capita in 2010) at baseline, and decreased by 59.3% to US$10,784 (0.58 GDP) at follow-up. The mean number of months of unemployment dropped from 6.03 to 2.79, the mean income increased to exceed the basic salary, but only reached 45.3% of the national average monthly earnings. The participants׳ mental health improved, but their QOL scores did not increase significantly. After one year of MMT, the monetary cost of heroin addiction fell, both the productivity and mental health of the participants׳ improved, but limited gains were seen with regard to their QOL.
美沙酮维持治疗（MMT）有益于海洛因依赖，但关于 MMT 后货币成本的降低和生产力的提高的信息却很少。本研究旨在评估 MMT 一年后海洛因成瘾的货币成本和生产力的变化。从 MMT 诊所中选取了 29 名参与者。在基线和一年随访时评估货币成本、生产力、生活质量（QOL）和心理健康状况。基线时的年平均总成本约为 26485 美元（2010 年人均国内生产总值的 1.43 倍），随访时降低了 59.3%，为 10784 美元（0.58 倍）。失业月数从 6.03 个月降至 2.79 个月，平均收入增加超过基本工资，但仅达到全国平均月收入的 45.3%。参与者的心理健康状况有所改善，但他们的 QOL 评分没有显著提高。经过一年的 MMT，海洛因成瘾的货币成本下降，参与者的生产力和心理健康都有所改善，但 QOL 的提高有限。
