Shared Care Methadone Clinics a Survey of Patient Satisfaction Behaviour Change and Staff Views

Gabbay, Mark; Clarke, Sinead; Willert, Emma; Esmail, Aneez

doi:10.3109/16066359909004379

Cited by 5 publications

(2 citation statements)

References 23 publications

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“…Patient satisfaction in MMT has been primarily measured with generic instruments, such as the General Satisfaction Questionnaire 12 or the Client Satisfaction Questionnaire. 13 In addition, as patient satisfaction is a broad construct including different dimensions, 9 it appears interesting to target each facet with instruments specifically designed to assess opioid maintenance treatments.…”

Section: Introductionmentioning

confidence: 99%

Heroin-dependent patient satisfaction with methadone as a medication influences satisfaction with basic interventions delivered by staff to implement methadone maintenance treatment

Alcaraz¹,

Viladrich²,

Trujols³

et al. 2018

PPA

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PurposeThe aim of the present study was to test a structural equation model of patient satisfaction with different key facets of methadone maintenance treatment (MMT). In this model, the three dimensions of patient satisfaction with methadone as a medication (ie, personal functioning and well-being, anti-addictive effect on heroin, and anti-addictive effect on non-opioid substances) were expected to predict satisfaction with the basic interventions delivered by the staff of treatment centers to implement MMT.Patients and methodsA sample of 210 heroin-dependent patients, resistant to MMT treatment (mean age =41.66 years, SD =6.50; 75.7% male), participated voluntarily in this study. Preliminary analysis based on exploratory structural equation modeling supported the expected three-factor measurement model of the scale to assess satisfaction with medications for addiction treatment – methadone for heroin addiction. Moreover, the 15 items measuring staff’s basic interventions were shown to be compatible with the expected single-factor measurement model. Then, both measurement models were included in a structural model.ResultsResults of this model show that patient satisfaction with the compatibility of methadone with personal functioning and well-being, as well as with the anti-addictive effects of methadone on non-opioid substances, predicts satisfaction with basic interventions conducted at methadone treatment centers (β=0.191 and β=0.152, respectively).ConclusionOur results provide further understanding regarding patient satisfaction with MMT, which could help professionals to better understand patient perspective and experience during MMT.

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Section: Introductionmentioning

confidence: 99%

Heroin-dependent patient satisfaction with methadone as a medication influences satisfaction with basic interventions delivered by staff to implement methadone maintenance treatment

Alcaraz¹,

Viladrich²,

Trujols³

et al. 2018

PPA

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“…Research conducted into primary care-based services before and after the scheme, demonstrates that when implemented, it is very successful (Gabbay et al, 1999). A shared care protocol was devised and participating practices were expected to follow the guidelines outlined.…”

Section: Developments Elsewhere In Greater Manchestermentioning

confidence: 99%

A Share of the Action: General Practitioner involvement in drug misuse treatment in Greater Manchester

Carnwath¹,

Gabbay

Barnard³

2000

Drugs: Education, Prevention and Policy

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This paper describes the development of shared care for drug misuse in Greater Manchester. Particular attention is given to Trafford, where a successful system has been developed involving all GPs in the district, and which provides direct access for GPs to a variety of support services for drug misusers, including training, rehabilitation and supported home detoxi® cation. The Greater Manchester Shared Care Training Initiative is described. Local research is summarized relating to GP and patient attitudes. Unfortunately, there is still much resistance by GPs to involvement in treating illicit drug misuse. The authors draw on their experience of developing shared care schemes in a number of districts, and suggest ways of overcoming resistance among GPs and primary care staff. Attention must be paid to the attitudes and skill base of primary care staff, the amount of support they receive and the effectiveness and enthusiasm of the specialist service. An important ® rst step is to recruit at least a few local GPs as champions of shared care. With the help of appropriate training and support, and sensitive evangelism, most GPs can be brought to realize that treatment of drug misuse is a satisfying and bene® cial component of normal family practice.

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A Qualitative Study of Prescribing Doctor Experiences of Methadone Maintenance Treatment

Hout

Bingham

2013

Int J Ment Health Addiction

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Shared Care Methadone Clinics a Survey of Patient Satisfaction Behaviour Change and Staff Views

Cited by 5 publications

References 23 publications

Heroin-dependent patient satisfaction with methadone as a medication influences satisfaction with basic interventions delivered by staff to implement methadone maintenance treatment

Heroin-dependent patient satisfaction with methadone as a medication influences satisfaction with basic interventions delivered by staff to implement methadone maintenance treatment

A Share of the Action: General Practitioner involvement in drug misuse treatment in Greater Manchester

A Qualitative Study of Prescribing Doctor Experiences of Methadone Maintenance Treatment

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