美国有关健康行为激励的州法律:定性分析
Barbara Andraka-Christou1, Michelle Williams1, Scott Buksbaum1
1University of Central Florida, 525 W Livingston Ave, Suite 401, Orlando, FL 32801, USA.
Preventive medicine
|July 26, 2023
概括
法律允许对物质使用障碍 (SUD) 行为的激励,27个州法律允许SUD特定的激励,主要是在健康计划中. 没有法律禁止这些激励措施,支持SUD治疗应急管理 (CM) 的更广泛传播.
科学领域:
- 卫生法 法律 卫生法
- 药物使用障碍治疗 药物使用障碍治疗
- 健康 行为干预 干预
背景情况:
- 应急管理 (CM) 是对物质使用障碍 (SUD) 的高度有效治疗方法.
- 由于缺乏关于管理健康行为激励的法律的明确性,CM的传播受到阻碍.
- 了解现有的激励法律框架对于扩大基于证据的SUD治疗至关重要.
研究的目的:
- 系统地审查有关健康行为激励的州法规和法规,特别是与SUD相关的结果.
- 确定明确允许或禁止激励SUD特定行为或结果的法律.
- 确定允许对任何健康行为或结果进行激励的法律,以告知CM传播.
主要方法:
- 使用NexisUni法律数据库对州法规和条例进行系统审查.
- 搜索集中在2022年有效的法律上.
- 分析对法律进行了分类,基于它们是否允许/禁止SUD特定激励措施或允许一般健康激励措施.
主要成果:
- 17个司法管辖区的27个法律明确允许对SUD相关行为或结果进行激励,主要是在健康计划中.
- 没有发现任何州法律明确禁止SUD特定激励措施.
- 在29个司法管辖区的57个法律允许对任何健康结果进行激励,包括健康,教育,公共卫生和SUD治疗许可环境.
结论:
- 现有的法律框架显示了健康相关激励措施的宽容环境,包括SUD行为.
- 这些发现表明,有机会制定法律,明确允许在SUD护理中提供激励措施,以促进更广泛的CM传播.
- 解决法律障碍和促进基于激励的干预措施可以提高获得基于证据的SUD治疗的机会,特别是在服务不足的地区.
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