Author Affiliations: Department of Psychiatry, Yale University School of Medicine, New Haven, and Veterans Affairs Healthcare Systems, West Haven, Conn.
A major priority in US medicine is the need to improve quality and access
while containing costs. Two articles in this issue of THE JOURNAL address
2 important quality and access issues in opioid stabilization treatment: primary
care methadone treatment,1 which can improve
access by broadening the prescriber base, and the abbreviation of methadone
therapy,2 which might improve access by allowing
more patients per year in the available treatment slots. These articles address
2 strategies to enhance quality: directly observed methadone administration
in primary care and intensified counseling in brief methadone treatment.
Rounsaville BJ, Kosten TR. Treatment for Opioid DependenceQuality and Access. JAMA. 2000;283(10):1337-1339. doi:10.1001/jama.283.10.1337