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Economic evaluation in a trial of medically controlled prescription of narcotics to dependent users (PROVE)

Sozial- und Praventivmedizin, ISSN: 0303-8408, Vol: 43, Issue: 4, Page: 185-194
1998
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Article Description

In the 1994-1996 trial of medically controlled prescription of narcotics to dependent users, 800 places were ascribed to heroin substitutes, and another 200 for methadone and morphine substitutes. The trial was evaluated with the aid of an accompanying research. Among the results demonstrated in the evaluation was an improvement of the health of the participants. The economic assessment was drawn from observations of health effects within a sub-sample of 142 participants from four centers. In a retrospective statistical survey for each acute illness which could be influenced through the trial, the number of diagnoses was recorded in the first and thirteenth month after study entry. Also, based on a number of representa tive cases for each of these acute illnesses, the resource use, i.e. the types and numbers of medical products and services rendered to the patients, was recorded. The results showed a clear decline in depressive episodes, skin diseases, digestive system disorders as well as epileptic attacks and intoxication. Treatment costs could be reduced from a total of CHF 94875.- to CHF 21998.-/month or from CHF 22.27 to CHF 5.15/patient per day. The improvement of somatic and psychic health due to the medically controlled prescription of narcotics resulted in a benefit of CHF 17.11/person per day.

Bibliographic Details

Andreas Frei; Thomas Steffen; Monika Gasser; Ulrike Kümmerle; Metascha Stierli; Anja Dobler-Mikola; Ambros Uchtenhagen; Felix Gutzwiller; Janus Basel; Koda I. Bern; Promi Freiburg; Herol Olten; Projekt H. Thun; Richard Blattler; Réjane Dreifuss; Patrick Gschwend; Beat Kaufmann; Marcel Meier Kressig; Bruno Nydegger Lory; Silvia Pfeifer; Anne Sophie Nyman; Cornelia Schmidlin; Sandra Wulschleger; Monika Ernst; Cornelia Stocker; Viki Metzler; Carola Knierim-Keul; Ulrike Kummerle; Hans Ryser; Matthias Schmied; Rudolf Brenneisen; Stephan Christen; Rolf Dinkel; Roger Axel Greiner; Angelika Mehnert; Corinne Flück; Sabine Geistlich; Robert Hammig; Irene Hug; Martin Kilhas; Juan Rabasa; André Seidenberg; Claude Uehlinger; Zopa Zug; M. S.H.I.St Gallen; Gourrama Solothurn; Ikarus Winterthur; Heroinabgabe Zurcher; Oberland Uster; D. B.B. Horgen; Suprax Biel; Drop In Luzern; Peps Genf; Strafanstalt Oberschöngrun

Springer Science and Business Media LLC

Medicine

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