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目的:探讨在美沙酮社区药物维持治疗门诊对海洛因成瘾者实施激励机制对门诊的影响。方法:在美沙酮社区药物维持治疗门诊实施一整套激励措施,分析实施激励措施对门诊的影响。结果:实施激励机制后,门诊服药秩序明显好转,病人服药依从性提高。实施激励机制1a后病人服药率明显提高,与同期开诊的另外3家未实施激励机制的MMT门诊比较,其它3家门诊累计在治病人服药率仅为62.4%,而本门诊实施激励机制后,门诊服药率达到75.8%,服药率明显提高,具有显著统计学意义(P<0.01)。实施前治疗维持率88.9%,实施后治疗维持率达90.8%。实施激励机制对门诊管理带来正性影响,并且增加的支出在门诊可控范围内。结论:实施激励机制有利于提高患者参加维持治疗的依从性,提高治疗维持率及服药率。对于较长时间维持的服药者,激励机制对于促进患者坚持参加维持治疗,回归社会具有积极意义。
OBJECTIVE: To investigate the impact of out-patient incentives for heroin addicts in methadone community drug maintenance treatment clinics. Methods: A set of incentive measures was implemented in methadone community drug maintenance treatment clinics to analyze the impact of implementing incentive measures on outpatients. Results: After the implementation of the incentive mechanism, the order of outpatient medication improved obviously and the patients’ medication compliance improved. After the implementation of incentive mechanism 1a, the patient’s medication rate increased significantly. Compared with the other 3 MMT clinics that did not implement incentive mechanism during the same period, the other 3 outpatients had a cumulative medication rate of only 62.4%, and this outpatient implementation incentive mechanism After the outpatient medication rate reached 75.8%, medication rate was significantly improved, with significant statistical significance (P <0.01). Before the implementation of the treatment of maintenance rate of 88.9%, after treatment, the maintenance rate of 90.8%. The implementation of incentives has a positive impact on outpatient management, and increased spending is within the control of the clinic. Conclusion: The implementation of incentive mechanism is conducive to improving patient adherence to maintain treatment compliance, improve the maintenance of treatment and medication rates. For a long time to maintain the medication, incentives for promoting adherence to patients to participate in maintenance treatment, return to society has a positive meaning.