Von der „Burden of Disease”-Forschung zur Konzeption eines integrierten Versorgungssystems für Substanzabusus am Beispiel Ontario

Zusammenfassung

Das Paradigma der „evidence based medicine” ist inzwischen einer der wichtigsten Pfeiler moderner Gesundheitspolitik in etablierten Marktwirtschaften. Basierend auf diesem Paradigma wurde in den späten 90er Jahren in der kanadischen Provinz Ontario ein Monitoringsystem des Behandlungssystems für Substanzabusus entwickelt, das folgende Bestandteile erfasst: Verfügbarkeit von Behandlungsplätzen, Inanspruchnahme von Leistungen, Behandlungskosten und Outcome. Schwierigkeiten bei der Implementierung dieses Systems werden ebenso vorgestellt wie ein Ausblick auf zukünftige Entwicklungen.

From „Burden of Disease” Research to the Conception of an Integrated Supply System for Abuse of Substances in Ontario

The paradigm of evidence-based medicine has become one of the building blocks of modern health policy in established market economies. Based on this paradigm, a monitoring system for treatment of substance abuse has been developed in the Canadian province of Ontario. This monitoring system comprises four main elements: availability of treatment places, utilization of specialized health services, costs of treatment and outcome indicators. The paper discusses difficulties in implementing the system and gives some indications on future developments.

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