On-site medical care in methadone maintenance: Associations with health care use and expenditures

Journal of Substance Abuse Treatment

Volumn 32, Issue 2, 2007, Pages 143-151

  Gourevitch, Marc N ^a   Chatterji, Pinka ^b   Deb, Nandini ^c   Schoenbaum, Ellie E ^c   Turner, Barbara J ^d  

^a NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b CAMBRIDGE HEALTH ALLIANCE   (United States)

^c ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

^d UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Drug users; Injection drug users; Integrated services; Methadone maintenance; Substance abuse treatment

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; EMERGENCY CARE; FEMALE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HOSPITAL CARE; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; INTERVIEW; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MEDICAID; METHADONE TREATMENT; MULTIVARIATE ANALYSIS; OUTPATIENT CARE; PATIENT CARE; PRIORITY JOURNAL;

AMBULATORY CARE; CLUSTER ANALYSIS; COMORBIDITY; COST SAVINGS; DELIVERY OF HEALTH CARE, INTEGRATED; HEALTH EXPENDITURES; HEALTH SERVICES MISUSE; HIV SEROPOSITIVITY; HUMANS; LONG-TERM CARE; MEDICAID; MENTAL DISORDERS; METHADONE; MULTIVARIATE ANALYSIS; NARCOTICS; NEW YORK CITY; OPIOID-RELATED DISORDERS; PATIENT CARE TEAM; PATIENT READMISSION; PROSPECTIVE STUDIES; SUBSTANCE ABUSE TREATMENT CENTERS; SUBSTANCE ABUSE, INTRAVENOUS; UTILIZATION REVIEW;

EID: 33846930920     PISSN: 07405472     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jsat.2006.07.008     Document Type: Article

References (34)

1. Ball J., and Ross A. The effectiveness of methadone maintenance treatment (1991), Springer-Verlag, New York
2. Batki S., Gruber V., Bradley J., Bradley M., and Delucchi K. A controlled trial of methadone treatment combined with directly observed isoniazid for tuberculosis prevention in injection drug users. Drug and Alcohol Dependence 66 (2002) 283-293
3. Cameron A., and Trivedi P. Microeconometrics: Methods and applications (2005), Cambridge University Press, New York
4. Center for Substance Abuse Treatment. Clinical guidelines for the use of buprenorphine in the treatment of opioid addiction. Treatment Improvement Protocol (TIP) Series 40 (2004), U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Rockville, MD
5. Cherubin C., and Sapira J. The medical complications of drug addiction and the medical assessment of the intravenous drug user: 25 years later. Annals of Internal Medicine 119 (1993) 1017-1028
6. Duan N. Smearing estimate: A nonparametric retransformation method. Journal of the American Statistical Association 78 (1983) 605-610
7. Fiellin D., and O'Connor P. Clinical practice. Office-based treatment of opioid-dependent patients. New England Journal of Medicine 347 (2002) 817-823
8. Fox K., Merrill J., Chang H., and Califano J. Estimating the cost of substance abuse to the Medicaid Hospital Care Program. American Journal of Public Health 85 (1995) 48-54
9. Friedmann P., Hendrickson J., Gerstein D., Zhang Z., and Stein M. Do mechanisms that link addiction treatment patients to primary care influence subsequent utilization of emergency and hospital care?. Medical Care 44 (2006) 8-15
10. Gourevitch M., and Arnsten J. Medical complications of drug use. In: Lowinson J., Ruiz P., Millman R., and Langrod J. (Eds). Substance abuse: A comprehensive textbook. 4th edition (2005), Lippincott Williams and Wilkins, Philadelphia 840-862
11. Gourevitch M., Wasserman W., Panero M., and Selwyn P. Successful adherence to observed prophylaxis and treatment of tuberculosis among drug users in a methadone program. Journal of Addictive Diseases 15 (1996) 93-104
12. Hartel D., Schoenbaum E., Selwyn P., Kline J., Davenny K., Klein R., et al. Heroin use during methadone maintenance treatment: Importance of methadone dose and cocaine use. Am J Public Health 30 (1995) 83-88
13. Kopstein A. Drug abuse related emergency room episodes in the United States. British Journal of Addiction 88 (1993) 281-283
14. Laine C., Hauck W., Gourevitch M., Rothman J., Cohen A., and Turner B. Regular outpatient medical and drug abuse care and subsequent hospitalization of persons who use illicit drugs. Journal of the American Medical Association 285 (2001) 2355-2362
15. Laine C., Newschaffer C., Zhang D., Rothman J., Hauck W., and Turner B. Models of care in New York State Medicaid substance abuse clinics: Range of services and linkages to medical care. Journal of Substance Abuse 12 (2000) 271-285
16. Lewis D., and Bellis M. General practice or drug clinic for methadone maintenance? A controlled comparison of treatment outcomes. International Journal of Drug Policy 12 (2001) 81-89
17. Lucas G., Weidle P., Hader S., and Moore R. Directly administered antiretroviral therapy in an urban methadone maintenance clinic: A nonrandomized comparative study. Clinical Infectious Diseases 38 (2004) S409-S413
18. Markson L., Houchens R., Fanning T., and Turner B. Repeated emergency department use by persons with advanced HIV infection: Effect of clinic accessibility and expertise in HIV care. Journal of Acquired Immune Deficiency Syndrome and Human Retrovirology 17 (1998) 35-41
19. McGarry K., Stein M., Clarke J., and Friedmann P. Utilization of preventive health services by HIV-seronegative injection drug users. Journal of Addictive Diseases 21 (2002) 93-102
20. McLellan A., Arndt I., Metzger D., Woody G., and O'Brien C. The effects of psychosocial services in substance abuse treatment. Journal of the American Medical Association 269 (1993) 1953-1959
21. O'Connor P., Molde S., Henry S., Shockcor W., and Schottenfeld R. Human immunodeficiency virus infection in intravenous drug users: A model for primary care. American Journal of Medicine 93 (1992) 382-386
22. Parthasarathy S., Mertens J., Moore C., and Weisner C. Utilization and cost impact of integrating substance abuse treatment and primary care. Medical Care 41 (2003) 357-367
23. Saitz R., Horton N., Larson M., Winter M., and Samet J. Primary medical care and reductions in addiction severity: A prospective cohort study. Addiction 100 (2005) 70-78
24. Samet J., Friedmann P., and Saitz R. Benefits of linking primary medical care and substance abuse services: Patient, provider, and societal perspectives. Archives of Internal Medicine 161 (2001) 85-91
25. Samet J., Larson M., Horton N., Doyle K., Winter M., and Saitz R. Linking alcohol- and drug-dependent adults to primary medical care: A randomized controlled trial of a multi-disciplinary health intervention in a detoxification unit. Addiction 98 (2003) 509-516
26. Selwyn P., Alcabes P., Hartel D., Buono D., Schoenbaum E., Klein R., et al. Clinical manifestations and predictors of disease progression in drug users with human immunodeficiency virus infection. New England Journal of Medicine 321 (1992) 874-879
27. Selwyn P., Budner N., Wasserman W., and Arno P. Utilization of on-site primary care services by HIV-seropositive and seronegative drug users in a methadone maintenance program. Public Health Reports 108 (1993) 492-500
28. Stein M., O'Sullivan P., Ellis P., Perrin H., and Wartenberg A. Utilization of medical services by drug abusers in detoxification. Journal of Substance Abuse 5 (1993) 187-193
29. Stenbacka M., Leifman A., and Romelsjo A. The impact of methadone on consumption of inpatient care and mortality, with special reference to HIV status. Substance Use and Misuse 33 (1998) 2819-2834
30. Turner B., Laine C., Yang C., and Hauck W. Effects of long-term, medically supervised, drug-free treatment and methadone maintenance treatment on drug users' emergency department use and hospitalization. Clinical Infectious Diseases 37 (2003) S457-S463
31. Turner B., McKee L., Fanning T., and Markson L. AIDS specialist versus generalist ambulatory care for advanced HIV infection and impact on hospital use. Medical Care 32 (1994) 902-916
32. Umbricht-Schneiter A., Ginn D., Pabst K., and Bigelow G. Providing medical care to methadone clinic patients: Referral vs. on-site care. American Journal of Public Health 84 (1994) 207-210
33. Weisner C., Mertens J., Parthasarathy S., Moore C., and Lu Y. Integrating primary medical care with addiction treatment: A randomized controlled trial. Journal of the American Medical Association 286 (2001) 1715-1723
34. White H. A heteroscedasticity-consistent covariance matrix estimator and a direct test for heteroscedasticity. Econometrica 48 (1980) 817-838