Director of Health Outcomes and Performance Evaluation at the Centre for Addiction and Mental Health in Toronto, Ont, Lead of the Mental Health Program at the Institute for Clinical Evaluative Sciences in Toronto, and Assistant Professor in the Department of Psychiatry and in the Institute of Health Policy, Management and Evaluation at the University of Toronto.
Research analyst at the Centre for Addiction and Mental Health.
Can Fam Physician. 2018 Feb;64(2):e95-e103.
To describe recent trends and patterns in methadone maintenance treatment (MMT) practice regionally and over time in the province of Ontario.
Population-based descriptive study using health administrative data between September 1, 2011, and December 31, 2014.
Ontario.
All active MMT-prescribing physicians and patients receiving MMT in the study period.
Characteristics of MMT-prescribing physicians, including age, sex, specialty type, practice region, and practice volume; characteristics of patients receiving MMT, including age, sex, neighbourhood income, and region of residence.
Between September 1, 2011, and December 31, 2014, the number of MMT-prescribing physicians and patients who received MMT increased by 26% and 42%, respectively. In 2014, there was a total of 312 MMT-prescribing physicians and 49 703 patients receiving MMT. In 2014 and on a per capita basis, patients receiving MMT were more prevalent in rural regions; and within rural regions, there were disproportionately large numbers of young female MMT patients residing in low-income neighbourhoods.
The number of physicians prescribing MMT and patients receiving MMT has increased substantially between 2011 and 2014, with the largest per capita distribution occurring in rural regions and involving young adults. While availability of and access to MMT has improved considerably from before 2000 to levels of high use, these developments are likely influenced by recent trends in the proliferation of prescription opioid misuse across general populations.
描述安大略省在区域和时间上的美沙酮维持治疗（MMT）实践的最新趋势和模式。
使用 2011 年 9 月 1 日至 2014 年 12 月 31 日期间的健康管理数据进行基于人群的描述性研究。
安大略省。
所有在研究期间活跃的开具 MMT 处方的医生和接受 MMT 的患者。
开具 MMT 处方的医生的特征，包括年龄、性别、专业类型、实践区域和实践量；接受 MMT 的患者的特征，包括年龄、性别、社区收入和居住区域。
2011 年 9 月 1 日至 2014 年 12 月 31 日期间，开具 MMT 处方的医生和接受 MMT 的患者人数分别增加了 26%和 42%。2014 年，共有 312 名开具 MMT 处方的医生和 49703 名接受 MMT 的患者。2014 年，人均接受 MMT 的患者在农村地区更为普遍；在农村地区，有大量年轻的女性 MMT 患者居住在低收入社区。
2011 年至 2014 年期间，开具 MMT 处方的医生人数和接受 MMT 的患者人数大幅增加，农村地区的人均分布最大，涉及年轻成年人。虽然 MMT 的可用性和可及性从 2000 年之前到现在已经有了显著的提高，达到了高使用率的水平，但这些发展可能受到普通人群中处方类阿片滥用扩散的近期趋势的影响。
