| Author/Editor | Tiljak, Hrvoje; Neralić, Ivana; Cerovečki, Venija; Kastelic, Andrej; Ožvačić Adžić, Zlata; Tiljak, Anja | |
| Title | Mogućnosti u liječenju ovisnika o opijatima u primarnoj zdravstvenoj zaštiti i obiteljskoj medicini | |
| Translated title | Primary health care and family medicine possibilities for treatment of opiate addicts | |
| Type | članek | |
| Vol. and No. | Letnik 66, št. 4 | |
| Publication year | 2012 | |
| Volume | str. 295-301 | |
| ISSN | 1330-0164 - Acta medica Croatica : časopis Hravatske akademije medicinskih znanosti | |
| Language | hrv | |
| Abstract | The global trend of promoting management and treatment of drug addicts in family physician offices is the result of the successof opioid agonist therapy. Studies have shown favorable results by shifting treatment into the hands of family physician. This processcontributes to general health care of drug addicts and their health by linking different areas of health care, thereby providingcomprehensive protection. Shifting treatment of addiction to family physician offices contributes to the elimination of treatmentisolation and stigmatization, while further benefits are lower barriers to employment, increase in patient privacy and opportunityto provide health care. The aim of this study was to provide a concise overview of the knowledge from new clinical research overthe past ten years on heroin addiction treatment in primary care. New research dealing with the approach to treating addicts indicatesa direct link between receiving primary health care with a reduced likelihood of using heroin; furthermore, the main concernsof drug addicts for treatment are availability of more therapeutic programs, better functioning of existing programs, andimproved staff relations towards them; final results and outcomes achieved by office and hospital treatment of drug addicts aresimilar and confirm the positive linear relationship between treatment duration and outcome. Studies comparing therapies showa positive effect of the adaptive methadone treatment maintenance model on the psychosocial factors; equal efficiency of treatmentregardless of initiation with buprenorphine or with methadone; and equal effectiveness of levo-alpha-acetylmethadol treatmentcompared with methadone and diacetylmorphine as a good alternative for addiction therapy with previously unsatisfactoryresults. New studies on buprenorphine show equal effectiveness and cost of detoxification whether guided by a family physicianor at the hospital; non-supervised therapy does not significantly influence the outcome, but is significantly cheaper; long-termtherapy with buprenorphine in the doctors office shows mild retention. | |
| Keywords | addiction heroin treatment zasvojenost heroin zdravljenje |