拒绝酒精中毒的健康索赔:州法律和结构性耻辱
Sunday Azagba1, Todd Ebling1, Mark Hall2,3
1College of Nursing, Pennsylvania State University, University Park, Pennsylvania, USA.
Alcohol, clinical & experimental research
|December 5, 2023
概括
美国的酒精排斥法 (AEL) 正在下降,18个州仍然允许它们. 虽然一些州禁止这些法律,但没有一个州完全禁止酒精排斥,这可能会加强对酒精使用障碍 (AUD) 的耻辱.
科学领域:
- 公共卫生法 公共卫生法
- 医疗保险政策 医疗保险政策
- 药物使用障碍政策 药物使用障碍政策
背景情况:
- 酒精排斥法 (AEL) 允许医疗保险公司拒绝为酒精相关伤害提供保险.
- 这些法律不鼓励提供者对酒精进行查,并阻止对酒精使用障碍 (AUD) 的治疗.
- 改善AUD护理的AELs变化没有得到充分的证据.
研究的目的:
- 为了检查美国州酒精排斥法律的现状.
- 分析AELs颁布和废除的历史趋势.
- 了解美国不同州AEL的变化.
主要方法:
- 在2023年进行了系统的法律分析.
- 分析了各州的法律,以确定它们是否允许,禁止或缺乏明确的酒精排斥政策.
- 国家根据其AEL政策进行分类.
主要成果:
- 有AEL的国家数量从2004年的37个减少到18个.
- 明确禁止酒精排斥的州从3个增加到15个.
- 17个州没有明确的酒精排斥政策,一些废除法案缺乏具体禁令.
结论:
- 一些州由于其负面影响而禁止了AEL.
- AEL在几个州仍然存在,可能会导致AUD的耻辱.
- 在过去的十年里,没有一个州完全禁止了酒精排斥.
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