Integrating Addiction Treatment and HIV Services into Primary Care Clinics in Ukraine - European Institute of Public Health Policy (EIPHP)

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The term of realization

15.09.2016 – 30.06.2024

Principal Investigator

Sergii Dvoriak

Funded by

National Institute on Drug Abuse (NIDA)

The aim of the project

The aim of this project is to study the effectiveness of the integrated model of health care services in primary care clinics and the interventions for quality improvement of health care services by means of training of physicians and their financial motivation.

Goals and objectives

1. Introduction opiate agonist maintenance treatment in primary healthcare facilities;

2. Setting up a system of tele-education for physicians of primary care clinics – “Improving the effectiveness of community-based health services” (Intervention with Proven Efficiency – Extension for Community Healthcare Outcome);

3. Working out of the model of increase of payment for quality (P4P);

4. Assess of cost-effectiveness of treatment based on comparing the cost of treatment and its efficacy in specialized institutions and in primary care clinics using a modern methodology of cost-effectiveness calculation.

Publications of the project

Pashchenko O, Bromberg D, Dumchev K, LaMonaca K, Pykalo I, Filippovych M, Esserman D, Polonsky M, Galvez de Leon S, Morozova O, Dvoriak S, Altice F. Preliminary analysis of self-reported quality health indicators of patients on opioid agonist therapy at specialty and primary care clinics in Ukraine: A randomized control trial. PLOS Glob Public Health. 2022 Nov, 2 (EN)

Bromberg D, Machavariani E, Madden L, Dumchev K, LaMonaca K, Earnshaw V, Pykalo I, Filippovych M, Haddad M, Dvoriak S, Altice F. Integrating methadone into primary care settings in Ukraine: effects on provider stigma and knowledge. J Int AIDS Soc. 2024, Feb 27 (EN)

Machavariani E., Dumchev K., Pykalo I., Filippovych M., Ivasiy R., Esserman D., Madden L., Bromberg D., Haddad M., Morozova O., Bachar Ahmad B., Gómez D., Farnum S., Dvoriak S., Altice F. Design and implementation of a Type-2 hybrid, prospective randomized trial of opioid agonist therapies integration into primary care clinics in Ukraine. Contemporary Clinical Trials, 2024 Nov (EN)

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