Patient Satisfaction withMethadone Maintenance Treatment in Vietnam: A Comparison of Different Integrative-Service Delivery Models

Title:	Patient Satisfaction withMethadone Maintenance Treatment in Vietnam: A Comparison of Different Integrative-Service Delivery Models
Authors:	Nguyen, Hoang Long
Issue Date:	2015
Publisher:	Plos one
Abstract:	Background Patient satisfaction is an important component of quality in healthcare delivery. To inform the expansion of Methadone Maintenance Treatment (MMT) services in Vietnam, we exam-ined the satisfaction of patients with regards to different services delivery models and identi-fied its associated factors. Methods We interviewed 1,016MMT patients at 5 clinics in Hanoi and Nam Dinh province. Themodi-fied SATIS instrument, a 10-item scale, was used tomeasure three dimensions:“Services quality and convenience”,“Health workers’capacity and responsiveness”and“Inter-profes-sional care”. Results The average score was high across three SATIS dimensions. However, only one third of patients completely satisfied with general health services and treatment outcomes. Older age, higher education, having any problem in self-care and anxiety/depression were nega-tively associated with patient’s satisfaction. Meanwhile, patients receivingMMT at clinics, wheremore comprehensive HIV and general health care services were available, were more likely to report a complete satisfaction. Conclusion Patients were highly satisfied withMMT services in Vietnam. However, treatment for drug users should go beyondmethadonemaintenance to address complicated health demands of drug users. IntegratingMMT with comprehensive HIV and general health services PLOS ONE | DOI:10.1371/journal.pone.0142644 November 10, 2015 1/12 a11111 OPENACCESS Citation:Tran BX, Nguyen LH, Phan HTT, Latkin CA (2015) Patient Satisfaction with Methadone Maintenance Treatment in Vietnam: A Comparison of Different Integrative-Service Delivery Models. PLoS ONE 10(11): e0142644. doi:10.1371/journal. pone.0142644 Editor:Gabriele Fischer, Medical University of Vienna, AUSTRIA Received:August 7, 2015 Accepted:October 23, 2015 Published:November 10, 2015 Copyright:© 2015 Tran et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement:Due to legal restrictions imposed by the government of Vietnam regarding patient confidentiality, data are available upon request. Requests for data may be sent to Dr. Phan Thi Thu Huong (huongphanmoh@gmail.com). Funding:This study was funded by the Vietnam Authority of HIV/AIDS Control World Bank supported HIV Project. Dr. Bach Tran received a fellowship from the International AIDS Society and US National Institute of Drug Abuse. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. together with improving the capacity of health workers and efficiency of services organisa-tion to provide interconnected health care for drug users are critical for improving the out-comes of theMMT program.
URI:	http://repository.vnu.edu.vn/handle/VNU_123/11444
ISSN:	1932-6203
Appears in Collections:	SMP - Papers / Tham luận HN-HT