Economic issues substitution treatment slovak perspective
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Economic Issues & Substitution Treatment (Slovak Perspective). Lubomir Okruhlica, MD, PhD Seminar on Substitution Treatment in V4 Bratislava, March 13.-14., 2003. Demand for Treatment Due to Use of Opioid Drugs (Slovakia 2002). Estimated Number of People with Opiate Dependence.

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Economic Issues & Substitution Treatment (Slovak Perspective)

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Economic issues substitution treatment slovak perspective

Economic Issues & Substitution Treatment(Slovak Perspective)

Lubomir Okruhlica, MD, PhD

Seminar on Substitution Treatment in V4

Bratislava, March 13.-14., 2003


Demand for treatment due to use of opioid drugs slovakia 2002

Demand for Treatment Due to Use of Opioid Drugs (Slovakia 2002)


Estimated number of people with opiate dependence

Estimated Number of People with Opiate Dependence

Expert estimations calculated from UZIS survey in population, 2000.

Slovakia: app. 3,500 - 8,000 with opiate dependence

Bratislava: app. 3,500 heroin users

app. 1,200 - 1,500 with opiate depend.


Estimations

Estimations

  • If we apply “principle of thirds”, based on previous epidemiological findings and the out-comes of follow-up, estimated No. Of people who might benefit from ST is as it follows:

  • app. 1,700 - 4,000 in Slovakia

  • app. 500 - 700 in Bratislava city (currently about 450)


Costs for treatment based on cttd bratislava no in 2000

Costs for Treatment(based on CTTD Bratislava No.)in 2000

  • Drug-Free Medical In-Patient:

    - 1 day: app. Euro 40

    - 24 days average: Euro 720

    - 90 days full therapy.: Euro 2,700

  • Methadone Maintenance Treatment:

    - 1 day:app. Euro 1.75

    - 1 year: Euro 638.75

    Note: based on average exchange rates Euro/Skk. In 2000


Costs for treatment based on cttd bratislava no in 2001

Costs for Treatment(based on CTTD Bratislava No.)in 2001

  • Drug-Free Medical In-Patient:

    - 1 day: Euro 31

    - 90 days full therapy.: Euro 2,830

  • Methadone Maintenance Treatment:

    - 1 day: Euro 2.50

    - 1 year: Euro 918

    Note: based on average exchange rates Euro/Skk. In 2001


Costs for treatment based on cttd bratislava no

Costs for Treatment(based on CTTD Bratislava No.)

  • Buprenorphine Substitution Treatment:

    - 1 day: app. Euro 6.20

    - 1 year: app. Euro 2,250.00


Costs for treatment based on uzis numbers from 2002

Costs for Treatment(based on UZIS Numbers from 2002)

No. of opiate addicts (F11.2) in prisons - 440

estimated costs per year: app. Euro 3,070,000


Costs for treatment based on uzis numbers from 20021

Costs for Treatment(based on UZIS Numbers from 2002)

No. of opiate addicts (F11.2) in health sector - 843

estimated costs per year in drug-free in-patient th.:

app. Euro 2,386,000

estimated costs per year in MMT:

app. Euro 774,000

estimated costs per year in buprenorphine ST 8 mg:

app. Euro: 1,900,000


Costs for treatment based on nida numbers from usa

Costs for Treatment(based on NIDA Numbers from USA)

  • 1 full year on methadone maintenance th.:

    app. USD 4,700

  • 1 full year in the prison:

    app. USD 18,400


Costs for treatment if all were one year in

Costs for Treatmentif all were one year in ....

  • prison :Euro 8,900,000

  • drug-free th.:Euro 3,600,000

  • on buprenorphine:Euro 2,900,000

  • on methadone: Euro 1,200,000


Costs for treatment

Costs for Treatment


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