美国州阿片类药物治疗当局在COVID-19期间采用甲带回家政策
Victor Roy1, Michele Buonora2, Caty Simon3
1Yale National Clinician Scholars Program, Yale University School of Medicine. Sterling Hall of Medicine Room 1E-61, 333 Cedar Street, New Haven, CT 06510, United States; West Haven Veterans Affairs Medical Center, West Haven, CT 06516, United States.
The International journal on drug policy
|January 6, 2024
概括
州阿片类药物治疗当局 (SOTAs) 迅速通过联邦豁免,在COVID-19期间为家庭服用甲剂量. 然而,一些州已经取消了这些政策,强调了SOTA在未来治疗创新中的关键作用.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 药物使用障碍 药物使用障碍
背景情况:
- 在美国,获得甲治疗的途径受到众多监管障碍的阻碍.
- 国家阿片类药物治疗当局 (SOTA) 在管理甲获取方面发挥着重要作用.
- 在COVID-19期间联邦监管变化创造了一个机会来检查SOTA关于家用甲剂量的政策采用.
研究的目的:
- 分析自2020年3月以来,美国州阿片类药物治疗当局 (SOTAs) 对扩大家庭服用甲剂量的联邦监管豁免的采用和取消情况.
- 了解SOTA政策变化的速度和范围,以响应联邦指令.
主要方法:
- 从2023年2月到5月进行了政策扫描.
- 方法包括对SOTA进行调查,向SAMHSA提交"信息自由法" (FOIA) 要求,并向全国幸存者联盟 (NSU) 进行宣传.
主要成果:
- 78%的SOTA对调查做出了回应.
- 在37个采用联邦豁免的州中,所有州在宣布后一个月内都这样做.
- 四个州 (OH,IN,FL,MS) 后来取消了扩大带回家剂量政策.
结论:
- 美国SOTA在流行病爆发时广泛而迅速地采用了扩大带回家的甲剂量政策.
- 一些州已经开始扭转这些政策变化.
- 国家监管机构表现出快速修改政策的能力,以应对联邦的变化,表明他们在未来的甲治疗创新中发挥着至关重要的作用.
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