Relationship of Monetary Subsidy and Treatment Compliance in Heroin Addicts Following Methadone Maintenance Therapy: The Experience of Hsinchu and Miaoli Areas

海洛英成癮者美沙冬替代療法經費補助對藥物順從性的影響：竹苗地區的經驗

10.29478/TJP.201203.0002

林邦彥(Pan-Yen Lin)；劉明倫(Ming-Lun Liu)；王鵬智(Peng-Chin Wang)；張敏(Ming Chang)

美沙冬維持療法 ； 服藥遵從性 ； 補助 ； 有條件退費 ； methadone maintenance therapy ； drug compliance ； subsidy ； reimbursement

台灣精神醫學

26卷1期（2012 / 03 / 01）

3+25 - 30

英文

目的：經濟因素是影響成癮者能否持續接受替代療法治療的因素之一。本研究擬探討不同的補助方式對於美沙冬維持療法參加者服藥遵從性的影響，評量替代療法治療海洛因成癮者的治療效益，可提供政策及醫療服務對不同地緣及不同屬性病人的參考。方法：收集2010年1月至9月間，在新竹市及苗栗縣兩個主要美沙冬給藥點加入美沙冬維持療法的個案共323人，排除地檢署轉介的緩起訴個案27人，共有296位個案的資料進入統計分析。將服藥個案依補助狀態不同分為全額補助組（full subsidy）、無退費組（no subsidy）與有條件退費組（reimbursement），以回溯性病歷回顧的方式收集個案資料，並統計每日上傳疾管局的服藥紀錄，以計算個案的出席次數及服藥遵從性。結果：以卡方、ANOVA檢定，結果顯示，有條件退費組（reimbursement）的服藥遵從性較全額補助與無退費組高，達統計上顯著意義。結論：有條件退費與參加替代療法個案的服藥遵從度有相關性。

Objective: Monetary subsidy is one of the factors to affect the sustainability of addicts to receive methadone maintenance therapy (MMT). This study was conducted to explore the impact on the participants' drug compliance with different subsidies on MMT. Methods: From January to September 2010, we included 323 patients on MMT from Hsinchu and Miaoli counties in this study. Data for statistical analysis only included 296 patients because 27 patients were transferred the from district prosecutor's office due to deferred prosecution. We divided the participants into three groups-the full subsidy, no subsidy, and the reimbursement group. Data were collected through a retrospective chart review, and daily statistics were uploaded from the Centers for Disease Control to calculate the number of patients that attended, and their drug compliance during MMT. Results: The results of the study showed that the drug compliance between the reimbursement group and the non-reimbursement (full subsidy and no subsidy) group was statistically significant (p ＜ 0.001). Conclusion: Our study showed that reimbursement was related with high drug compliance in drug addicts.

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