云南省不同地区美沙酮维持治疗成本分析  

Cost and compliance of methadone maintenance treatment among drug users in different regions of Yunnan province

作　　者：张丽琼[1] 沈九成[1] 张从斌[1] 邓媛[1] 唐晓欢[1] 段春梅[1] 张锐敏[1] 闻品渊 ZHANG Li-qiong;SHEN Jiu-cheng;ZHANG Cong-bin(Department of Intervention Research,Yunnan Provincial Institute of Drug Addiction Prevention and Control,Kunming,Yunnan Province 650228,China)

机构地区：[1]云南省药物依赖防治研究所干预研究部

出　　处：《中国公共卫生》2019年第7期872-875,共4页Chinese Journal of Public Health

摘　　要：目的对云南省不同经济状况地区的美沙酮维持治疗患者参加治疗的成本进行调查,以期得到云南省不同地区美沙酮维持治疗病人的治疗成本负荷及依从性。方法于2014年9月—2015年9月,按照经济发展水平(利用GDP指标)好、中、差的标准在云南省选取5个地区10个不同MMT门诊,每个门诊采用随机抽样的方法,调查1678名患者,利用问卷对MMT门诊病人的时间成本及经济成本进行调查,并对调查结果进行统计分析。结果10个门诊的基本服药费为5~8元不等,病人就诊的单程时间成本为(23.46±18.65)min,主要交通工具是骑电动车或其他,每次往返门诊的花费为(9.39±6.57)元,每次就诊的经济成本为(16.92±7.61)元。经济状况差的地区病人获得补助最多(286/355,占80.51%),其每月就诊次数≥20次的病人比例也最多(287/355,占80.62%)。结论不同地区随经济状况由差到好,病人每次就诊的时间成本和经济成本都逐渐增加。不同经济状况的地区病人的负担与当地经济状况有关,适当增加门诊病人的补助有助于提高病人的就诊次数。Objective To investigate the cost and compliance of methadone maintenance treatment(MMT)among drug users in regions with different economic development in Yunnan province.Methods Using stratified random sampling,we conducted a self-administered questionnaire survey between September 2014 and September 2015 among 1 678 drug users under MMT at 10 MMT clinics in 5 municipalities with various economic development indicated by regional gross domestic product in Yunnan province.Rank-sum tests was employed in data analysis.Results The daily medication cost for each participant was 5 to 8 yuan(RMB).The average time for each one-way MMT clinic visit was 23.46±18.65 minutes;the main way for the participants to visit a MMT clinic was by riding an electric bicycle or riding a bike and the mean cost for a round-trip MMT clinic visit was 9.39±6.57 yuan and the average total expenditure for having a MMT service was 16.92±7.61 yuan.Both the proportion of receiving allowance for MMT and visiting a MMT clinic more than 20 times per month were higher(80.5%,286/355 and 80.62%,287/355)among the participants in the regions with low economic development.Conclusion The time and economic cost of a MMT service for drug users are reversely correlated with the economic development of the region the drug users reside in,suggesting that for drug users in various regions,the MMT-related economic burden differs by regional economic development and increasing allowance for drug users under MMT could promote them having more clinic visits.

关 键 词：美沙酮维持治疗 成本 依从性 

分 类 号：R512.91[医药卫生—内科学]