TY - JOUR
T1 - Primary care affiliations of adults in a methadone program with onsite care
AU - Federman, Alex
AU - Arnsten, Julia H.
N1 - Funding Information:
Alex D. Federman is affiliated with the Division of General Internal Medicine, Mount Sinai Hospital, New York, NY. Julia H. Arnsten is affiliated with the Division of Substance Abuse, Albert Einstein College of Medicine and Division of General Internal Medicine, Montefiore Medical Center, Bronx, NY, USA. Address correspondence to: Alex D. Federman, MD, MPH, Assistant Professor of Medicine, Division of General Internal Medicine, Mount Sinai School of Medicine, 1470 Madison Avenue, Box 1087, New York, NY 10029 (E-mail: alex.federman@mssm.edu). This work was supported by research grant 5P60DK020541 from the National Institute on Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA.
PY - 2007/3/1
Y1 - 2007/3/1
N2 - Methadone maintenance treatment programs (MMTP) often provide onsite primary care. It is unclear whether patients in these settings consider the MMTP their usual source of care. We conducted cross-sectional interviews of 62 adults in an inner-city MMTP with onsite primary care to determine their usual source of care. Program enrollment ranged from 1 to 27 years (median, 4) and 63% attended >= 5 days per week. Seventy-six percent had >= 1 chronic disease. Only 53% reported having a usual source of care, which included hospital-based clinics (45%), the MMTP (23%), private physicians (19%), other sites (13%). Patients were more likely to identify the MMTP as their usual source of care if they had cardiovascular disease (RR 6.9, 95% CI 2.2 to 21.9) or HIV (RR 5.6, 95% CI 1.7 to 18.5). Successfully promoting appropriate utilization of onsite primary care may require a better understanding of MMTP patients' perceptions of primary care.
AB - Methadone maintenance treatment programs (MMTP) often provide onsite primary care. It is unclear whether patients in these settings consider the MMTP their usual source of care. We conducted cross-sectional interviews of 62 adults in an inner-city MMTP with onsite primary care to determine their usual source of care. Program enrollment ranged from 1 to 27 years (median, 4) and 63% attended >= 5 days per week. Seventy-six percent had >= 1 chronic disease. Only 53% reported having a usual source of care, which included hospital-based clinics (45%), the MMTP (23%), private physicians (19%), other sites (13%). Patients were more likely to identify the MMTP as their usual source of care if they had cardiovascular disease (RR 6.9, 95% CI 2.2 to 21.9) or HIV (RR 5.6, 95% CI 1.7 to 18.5). Successfully promoting appropriate utilization of onsite primary care may require a better understanding of MMTP patients' perceptions of primary care.
KW - Continuity of care
KW - Methadone maintenance treatment programs
KW - Onsite care
KW - Preventive care
KW - Primary care
UR - http://www.scopus.com/inward/record.url?scp=34249084986&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34249084986&partnerID=8YFLogxK
U2 - 10.1300/J069v26n01_04
DO - 10.1300/J069v26n01_04
M3 - Article
C2 - 17439865
AN - SCOPUS:34249084986
SN - 1055-0887
VL - 26
SP - 27
EP - 34
JO - Journal of Addictive Diseases
JF - Journal of Addictive Diseases
IS - 1
ER -
