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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/15974
標題: | 台灣實行鴉片類成癮者替代治療之成效評估與檢討:2006-2011 The effect evaluation and review of Opiate addicts substitution treatment in Taiwan: from 2006 to 2011 |
作者: | Hung-Ming Tsai 蔡宏明 |
指導教授: | 江炯聰 |
關鍵字: | 愛滋病減害計畫,減害計畫,海洛因,美沙冬,替代治療,美沙冬維持治療, HIV Harm Reduction Program,Harm Reduction,Heroin,Methadone,Substitution treatment,Methadone Maintenance Treatment, |
出版年 : | 2012 |
學位: | 碩士 |
摘要: | 台灣於民國95年愛滋病毒經由靜脈藥癮者傳染者的人數急遽攀升,佔當年全部新增個案72%。行政院衛生署疾病管制局鑑於預防與減害的觀點,於民國94年開始試辦毒品病患愛滋減害試辦計畫。民國95年全面推行,至民國100年止愛滋病毒經由毒品病患的傳染途徑已經獲得有效的控制。因為引進爭議多年的美沙冬替代治療,使過去第一線處理海洛因依賴者的戒治工作有更多的揮灑空間,對於海洛因依賴者終於可以獲得有效的治療方式。
本研究的目的主要是探討海洛因成癮的問題與相關解決方式、政策與可行性、美沙冬替代治療在台灣的實施成效、爭議與相關政策擬定與實行面的問題。透過文獻回顧、歷史資料詮釋、與數據收集分析整理。 研究結果顯示,因為替代治療的實施,不僅愛滋病的疫情在毒品病患的傳染途徑獲得有效的控制,病患的生活品質與經濟情況都獲得顯著的改善。而在犯罪方面,一級毒品的查獲量與被起訴人數有逐年遞減的狀況。但在數據分析上,用不同的方法所收集分析的資料,在病患出席率方面,產生極大的差異。 研究者建議相關單位應該藉由新的資訊系統全面實施,將開始實施之後所有的相關資料統整轉檔,並臨床使用的使用經驗來逐步改善資訊系統。 Due to HIV prevalence increase significant by IDU in 2006, HIV spread by IDU is 72% of total HIV case diagnosed in 2006. CDC, DOH started to IDU harm reduction pilot program in 2005, and formally starts IDU harm reduction program in 2006. HIV spread route by IDU had been significant controlled until 2011. Because executed Methadone Maintenance Treatment Program (MMT) that had been argued for years, the medical professionals who deal with the heroin addicts have more method to resolve the problem of heroin addicts. The purpose of this study discuss the problems and related solutions about heroin addicts, policy and practicability, the efficancy of MMT in Taiwan, argument and related policy making, policy reality. Collect related data by literatures review, websie information, government document, compared with the past related experience. The result of this study release, because of MMT program, the spread of HIV by IDU has been significant controlled. The life quality, economic status aslo improve in heroin addicts. Analysis of datas from Ministry of Justice, the amount of firt degree illlicit drugs and presecuted due to use first degree illict drugs decreases gradually in recent years. In datat analysis from datatbae system from CDC, two different methods results are different significant in attendence rate on addicts in MMT program. It is recommended that related authority should collect the correct data since MMT lauch from all instutions that executed MMT program becaue new MIS applied. Data transfomationfrom old MIS to new MIS correctly is also suggested. Finally, ajusting new MIS gradually according to response to users is aslo should be done. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/15974 |
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