Performance-Based Rating of Methadone Maintenance Programs

Vincent P. Dole, Marie E. Nyswander, Don Des Jarlais, Herman Joseph

Research output: Contribution to journalEditorial

Abstract

A survey of regulations in New York City's methadone clinics, conducted five years ago, showed why physicians lacked authority in their clinics and had little time to listen to their patients.1 Every therapeutic decision was governed by guidelines laid down in Washington or Albany. Eleven different agencies (federal, state, city, and community) exercised jurisdiction, and each required reports and records. Paper work alone, we estimated, could consume 185 per cent of the physician's time. Remarkably, nowhere in all this procedure was there any measure of benefit to patients. Since that time, efforts have been made to reduce the volume of.

Original languageEnglish (US)
Pages (from-to)169-172
Number of pages4
JournalNew England Journal of Medicine
Volume306
Issue number3
DOIs
StatePublished - Jan 21 1982

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Methadone
Physicians
Guidelines
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Performance-Based Rating of Methadone Maintenance Programs. / Dole, Vincent P.; Nyswander, Marie E.; Des Jarlais, Don; Joseph, Herman.

In: New England Journal of Medicine, Vol. 306, No. 3, 21.01.1982, p. 169-172.

Research output: Contribution to journalEditorial

Dole, Vincent P. ; Nyswander, Marie E. ; Des Jarlais, Don ; Joseph, Herman. / Performance-Based Rating of Methadone Maintenance Programs. In: New England Journal of Medicine. 1982 ; Vol. 306, No. 3. pp. 169-172.
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