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Because methadone clinics have been available in China only recently, this study explored the relationship between methadone dosage and client retention in methadone maintenance programmes in Guizhou province.
The applicability of our findings in terms of methadone maintenance programmes in primary care is therefore likely to be robust.
In terms of improving the delivery of methadone maintenance programmes in primary care, paper based guidance may no longer be sufficient.
The unique nature of this dataset in terms of record linkage provides evidence that recommendations on best practice improve patients' outcomes and that the improvements that have taken place in terms of the delivery of methadone maintenance programmes in the UK are likely to reduce the risk of death in this vulnerable group of people.
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However, a further study will be required to assess the performance of the proposed maintenance programme in terms of system availability, service reliability and safety and cost of IMR.
This was a randomised, controlled, parallel, investigator-blind study of a maintenance programme in patients with COPD following a standard PR programme.
Further research is needed into health information technology systems that provide structure to the planning, coordination, and monitoring needed for an effective methadone maintenance programme in primary care.
To our knowledge, this is the first paper that describes the systematic development of a lifestyle maintenance programme in a real-life setting.
In a 33 year review of an opioid maintenance programme in California in 2004, death from cardiovascular disease was noted to account for three times as many years of life lost in the treatment group than in the general population.
6 In view of the considerable resource implications of intensive maintenance or continual programmes for all dyspnoeic patients with COPD we aimed to evaluate the long-term effect of a low-intensity (3 monthly) maintenance programme in terms of health-related quality of life (HRQoL) in patients who had completed an initial PR programme.
Our results suggest that maintenance programmes, delivered in the manner in this study, should not be used in order to achieve improvements in these outcomes.
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