Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Quality improvement for methadone maintenance treatment
Autore:
Bell, J;
Indirizzi:
Langton Ctr, Surry Hills, NSW 2010, Australia Langton Ctr Surry Hills NSWAustralia 2010 rry Hills, NSW 2010, Australia
Titolo Testata:
SUBSTANCE USE & MISUSE
fascicolo: 12-14, volume: 35, anno: 2000,
pagine: 1735 - 1756
SICI:
1082-6084(2000)35:12-14<1735:QIFMMT>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
RETENTION;
Keywords:
methadone; quality treatment services; performance indicators; heroin;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Bell, J Langton Ctr, 591 S Dowling St, Surry Hills, NSW 2010, Australia Langton Ctr 591 S Dowling St Surry Hills NSW Australia 2010 tralia
Citazione:
J. Bell, "Quality improvement for methadone maintenance treatment", SUBST USE M, 35(12-14), 2000, pp. 1735-1756

Abstract

Negative community attitudes toward heroin addicts and toward methadone treatment are the major obstacles to providing good treatment. Negative attitudes find expression in inappropriate and constricting regulation of treatment, and in inadequate resources to support programs. They contribute to the ambivalence of patients in treatment. They find expression in a variety of staff behaviors-in anxiety and defensiveness about treatment, in staff ambivalence about the value of methadone, and in extreme cases, in cynical and suboptimal treatment practices. These issues are not merely theoretical barriers to quality, but have contributed to serious problems in the qualityand effectiveness of treatment. Neither regulations, nor wise prescriptions as to how treatment should be delivered, is an adequate response to theseproblems. A systematic approach to dealing with these issues is highly desirable. External, peer-based quality improvement provides an appropriate form of accountability, while enhancing the sense of professionalism of clinical staff. Although conventional approaches to quality assurance do not ensure the delivery of good care, benchmarking approaches based on monitoring outcomes can be used to review and improve treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 04:02:20