Methadone maintenance treatment (MMT) in general practice or in specialized centers: profile of patients in the Swiss Canton of Vaud.

We studied profile of patients (n=1782) treated in specialized centers and general practice (GP) enrolled in methadone maintenance treatment (MMT) programs during 2001 in the Swiss Canton of Vaud. We found that GPs treated the majority of patients (76%). Specialized centers treated a higher proportion of patients with uncontrolled intravenous use of cocaine and heroin, and prescribed neuroleptics as concomitant medication three times more frequently than GPs. Patients treated in specialized centers were more likely to undergo screening for HIV, HBV, HCV, and receive complete HBV immunization. In conclusion, specialized centers are more likely to treat severely addicted patients and patients with a poor global assessment (physical, psychiatric, and social).

Methadone maintenance treatment in the Swiss Canton of Vaud: demographic and clinical data on 1,782 ambulatory patients.

Using data from the Public Health Service, we studied the demographic and clinical characteristics of 1,782 patients enrolled in methadone maintenance treatment (MMT) during 2001 in the Swiss Canton of Vaud, comparing our findings with the results of a previous study from 1976 to 1986. In 2001, most patients (76.9%) were treated in general practice. Mortality is low in this MMT population (1%/year). While patient age and sex profiles were similar to those found in the earlier study, we did observe a substantial increase in the number of patients and the number of practitioners treating MMT patients, probably reflecting the low-threshold governmental policies and the creation of specialized centers. In conclusion, easier access to MMT enhances the number of patients, but new concerns about the quality of management emerge: benzodiazepine as a concomitant prescription; low rates of screening for hepatitis B, C and HIV, and social and psychiatric preoccupations.

[Voluntary pregnancy termination in the canton of Vaud in 2002]. / Les interruptions volontaires de grossesse dans le canton de Vaud en 2002.

No rates of pregnancy termination are available for Switzerland as a whole. In the canton of Vaud, however, pregnancy termination has been monitored for over ten years. The annual incidence (10.9 per 1000 residents in 2002) is one of the lowest recorded worldwide, but considerable variations are observed depending on age and on nationality; the incidence for non-Swiss nationals being three times higher than for Swiss nationals. As in the past, and in line with legislative changes that came into effect in October 2002, the vast majority of pregnancy terminations take place before the twelfth week of pregnancy. Repeat termination is relatively frequent: a quarter of those requesting termination in 2002 reported previous experience of pregnancy termination. In parous women, one in five requests for termination occurs less than one year after the birth of the last child. These data indicate that contraceptive counselling should be reinforced at the time of childbirth and following pregnancy termination.