Subscribe to RSS
DOI: 10.1055/s-2007-963443
© Georg Thieme Verlag KG Stuttgart · New York
Therapieziele, Evaluation und gesundheitsökonomische Aspekte der Behandlung von Drogenabhängigen
Therapy Goals, Evaluation and health-economic Aspects of the Therapy of Drug-dependentPublication History
Publication Date:
21 April 2008 (online)

Zusammenfassung
Veränderungen hinsichtlich der Zielparadigmen in der Therapie von Drogenabhängigen haben erheblichen Einfluss auf die Bewertung der Wirksamkeit und Wirtschaftlichkeit derartiger Interventionen. Diese Übersicht stellt den Zusammenhang zwischen Therapiezielen und klinischen bzw. gesundheitsökonomischen Evaluationsansätzen dar. Darüber hinaus wird der Forschungsstand bzgl. der Wirksamkeit und Wirtschaftlichkeit verschiedener Therapiestrategien auf der Basis von Reviews zusammengefasst.
Abstract
Changes regarding the goal paradigms in the therapy of drug-dependent have substantial influence on the evaluation of the effectiveness and cost effectiveness of such interventions. This overview represents the connection between therapy goals and clinical and health-economic evaluation concepts. In addition, the state of research is summarized concerning the effectiveness and cost-effectiveness of different therapy strategies on the basis by reviews.
Schlüsselwörter
Therapieziele - Evaluationskonzepte - Wirksamkeit - Wirtschaftlichkeit
Key words
therapy goals - evaluation concepts - effectiveness - economic evaluation
Literatur
- 1
French M, Drummond M.
A research agenda for economic evaluation of substance abuse services.
Journal of Substance Abuse Treatment.
2005;
29
125-137
Reference Ris Wihthout Link
- 2
Godfrey C.
Chronic illicit drug policy: the potential contribution of economic evaluation techniques.
De Economist.
2006;
154 (4)
563-580
Reference Ris Wihthout Link
- 3 Ahrens D. Technologiebewertung und Public Health. Bern; Huber 2002
Reference Ris Wihthout Link
- 4 Küfner H. Therapieevaluation. Tretter F, Müller A Psychotherapie der Sucht Göttingen; Hogrefe 2001: 550-572
Reference Ris Wihthout Link
- 5
Küfner H.
Therapieevaluation als Evidenzbasis der Suchttherapie.
Psychotherapie im Dialog.
2003;
4 (2)
170-177
Reference Ris Wihthout Link
- 6
Meili D, Dober S, Eyal E.
Jenseits des Abstinenzparadigmas - Ziele in der Suchttherapie.
Suchttherapie.
2004;
5
2-9
Reference Ris Wihthout Link
- 7
Desmond D, Maddux J.
Deaths among heroin users in and out of methadone treatment.
Journal Maintenance in the Addictions.
2000;
1
45-61
Reference Ris Wihthout Link
- 8
Esteban J, Gimeno C, Barril J. et al .
Survival study of opioid addicts in relation to its adherence to methadone maintenance
treatment.
Drug and Alcohol dependence.
2003;
70
193-200
Reference Ris Wihthout Link
- 9
McLellan T.
Have we evaluated addiction treatment correctly? Implications from chronic care perspective.
Addiction.
2002;
97
249-253
Reference Ris Wihthout Link
- 10
McLellan T, Lewis D, O’Brien C. et al .
Drug dependence, a chronic mental illness - implications for treatment, insurance
and outcome evaluation.
JAMA.
2000;
284 (13)
1689-1695
Reference Ris Wihthout Link
- 11
O’Brien C, McLellan T.
Myths about the treatment of addiction.
Lancet.
1996;
347
237-240
Reference Ris Wihthout Link
- 12 Berglund M, Thelander S, Jonsson E. Treating alcohol and drug abuse - an evidence based review. Weinheim; Wiley-VCH 2003
Reference Ris Wihthout Link
- 13
SBU (Swedish Council of Technology Assessment in Health Care) .
Treatment of alcohol and drug abuse: an evidence based review.
International Journal of Technology Assessment in Health Care.
2002;
18 (1)
145-154
Reference Ris Wihthout Link
- 14
Mattick R, Kimber J, Breen C. et al .
Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence.
Cochrane-Database Syst Rev.
2002;
4
Reference Ris Wihthout Link
- 15
Barnett P, Rodgers J, Bloch D.
A meta-analysis comparing buprenorphine to methadone for treatment of opiate dependence.
Addiction.
2001;
96 (5)
683-690
Reference Ris Wihthout Link
- 16
Connock M. et al .
Methadone and buprenorphine for the management of opioid dependence: a systematic
review and economic evaluation.
Health Technology Assessment.
2007;
11 (9)
1-190
Reference Ris Wihthout Link
- 17
Ahrens D, Dehde L, Schmidt-Kaehler S. et al .
Gesundheitsökonomische Evaluation der Substitutionstherapie Opiatabhängiger - eine
Standortbestimmung.
Sucht.
2003;
49 (4)
228-238
Reference Ris Wihthout Link
- 18
Andlin-Sobocki P.
Economic evidence in addiction: a review.
The European Journal of Health Economics.
2004;
5
S5-S12
Reference Ris Wihthout Link
- 19
Cartwright W.
Cost benefit analysis of drug treatment services: Review of the literature.
The Journal of Mental Health Policy and Economics.
2000;
3
11-26
Reference Ris Wihthout Link
- 20
Harwood H, Malhotra D, Villarivera C. et al .
Cost effectiveness and cost benefit analysis of substance abuse treatment: a literature
review.
2002;
, http//www.lewin.com/Lewin_Publications/Behavioral_Health/ SATxLitReview.htm (14.5.04)
Reference Ris Wihthout Link
- 21
McCollister K, French M.
The relative contribution of outcome domains in the total economic benefit of addiction
interventions: a review of first findings.
Addiction.
2003;
98
1647-1659
Reference Ris Wihthout Link
- 22
Sindelaar J, Jofre-Bonet M, French M. et al .
Cost-effectiveness analysis of addiction treatment: paradoxes of multiple outcomes.
Drug and Alcohol Dependence.
2004;
73
41-50
Reference Ris Wihthout Link
- 23
Godfrey C, Stewart D, Gossop M.
Economic analysis von costs and consequences of the treatment of drug 2-year outcome
data from the National Treatment Outcome Research Study (NTORS).
Addiction.
2004;
99 (6)
697-707
Reference Ris Wihthout Link
- 24
Doran C, Shanahan M, Mattick R. et al .
Buprenorphine versus methadone maintenance: a cost-effectiveness analysis.
Drug and Alcohol Dependence.
2003;
71
295-302
Reference Ris Wihthout Link
- 25
Doran C, Mattick R, White J. et al .
Buprenorphine versus methadone maintenance: a cost analysis of preliminary findings.
Research and Clinical Forums.
2001;
23 (1)
43-48
Reference Ris Wihthout Link
- 26
Sonntag D, Künzel J.
Hat die Therapiedauer bei alkohol- und drogenabhängigen Patienten einen positiven
Einfluss auf den Therapieerfolg?.
Sucht.
2000;
46 (Sonderheft 2)
92-176
Reference Ris Wihthout Link
- 27
Süß H M.
Zur Wirksamkeit der Therapie bei Alkoholabhängigen: Ergebnisse einer Meta-Analyse.
Psychologische Rundschau.
1995;
46
248-266
Reference Ris Wihthout Link
- 28
Barnett P, Swindle R.
Cost-effectiveness of inpatient substance abuse treatment.
Health Service Research.
1997;
32 (5)
615-629
Reference Ris Wihthout Link
- 29
French. et al .
Benefit-cost analysis of residential and outpatient addiction treatmend in the state
of washington.
Evaluation Review.
2000;
24 (6)
609-634
Reference Ris Wihthout Link
- 30
Weisner C. et al .
The outcome and cost of alcohol and drug treatment in an HMO: day hospital versus
traditional outpatient regimens.
Health Serv Res.
2000;
35 (4)
791-812
Reference Ris Wihthout Link
- 31
Mojtabai R, Zivin J.
Effectiveness and cost-effectivesness of four treatment modalities for substance abuse
disorders: a propensity score analysis.
Health Service Research.
2003;
38 (1)
233-259
Reference Ris Wihthout Link
- 32
Long C. et al .
Treating alcohol problems: a study of programme effectiveness and cost-effectiveness
according to length of delivery of treatment.
Addiction.
1998;
93 (4)
561-571
Reference Ris Wihthout Link
- 33 Drummond M, Pang F. Transferability of economic evaluation results. Drummond M, McGuire A Economic evaluation in health care Oxford; Oxford University Press 2001: 256-276
Reference Ris Wihthout Link
- 34
Drummond M, Manca A, Sculper M.
Increasing the generalizability of economic evaluations: Recommendations for the design,
analysis and reporting of studies.
International Journal of Technology Assessment in Health Care.
2005;
21
165-171
Reference Ris Wihthout Link
- 35
Salize H J, Mohler-Kuo M, Godfrey C. et al .
Health economics in addiction.
Alcohol Clin Exp Res.
2005;
29 (7)
1288-1291
Reference Ris Wihthout Link
- 36 Erbas B, Tretter F. Grundfragen der Gesundheitsökonomie. Tretter F, Erbas B, Sonntag G Ökonomie der Sucht und Suchttherapie Lengerich; Pabst 2004: 135-157
Reference Ris Wihthout Link
- 37 Uhl A. Kritische Betrachtungen zur Ökonomie der Sucht. Tretter F, Erbas B, Sonntag G Ökonomie der Sucht und Suchttherapie Lengerich; Pabst 2004: 174-203
Reference Ris Wihthout Link
- 38
Goodman A, Tilford J, Hankin J. et al .
Alcoholism treatment offset effects: an insurance perspective.
Medical Care Research an Review.
2000;
57 (1)
55-75
Reference Ris Wihthout Link
- 39
Schulenburg J M, Claes C.
Gesundheitsökonomische Begleitforschung. Spezialstudie im Rahmen des bundesdeutschen
Modellprojekts zur kontrollierten Heroinvergabe an Schwerstabhängige.
2006;
, http//www.heroinstudie.de (23.7.07)
Reference Ris Wihthout Link
- 40
Marckmann G, Siebert U.
Prioritäten in der Gesundheitsversorgung: was können wir aus dem „Oregon Health Plan”
lernen?.
Dtsch Med Wochenschr.
2002;
127
1601-1604
Reference Ris Wihthout Link
Prof. (FH) Dr. Dieter Ahrens MPH
Fachhochschulstudiengänge Burgenland GmbH, Studiengang Gesundheitsmanagement und Gesundheitsförderung
Steinamanger Str. 21
7423 Pinkafeld, Österreich
Email: dieter.ahrens@fh-burgenland.at
