社区主导的方法使纳洛在公共场合可用:在HEALing社区研究中的实施经验
Laura E Starbird1, Erica Onuoha2, Grace Corry2
1Department of Family and Community Health, University of Pennsylvania School of Nursing, 418 Curie Blvd Philadelphia, PA 19104, United States.
The International journal on drug policy
|May 25, 2024
概括
在内部实施纳洛住房单位是降低阿片类药物过量死亡的成本效益. 社区参与和量身定制的战略是成功纳洛获取计划的关键.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 扩大公众对纳洛 (Narcan) 的获取对于降低阿片类药物过量死亡率至关重要.
- 本研究检查了社区参与,数据驱动的方法安装和维护纳洛住房单位 (纳洛盒) 在纽约州.
- 还估计了不同方法的成本效益.
研究的目的:
- 描述和比较定制的,社区参与的战略,实施和维持纳洛住房单元.
- 从社区的角度估计与各种纳洛住房单位实施模型相关的成本.
主要方法:
- 利用实施研究的综合框架来指导数据收集.
- 在HEALing社区研究中,从行政记录和四个县的关键信息人采访中收集了数据.
- 进行了前性微成本分析,以确定每纳洛住房单位的成本策略.
主要成果:
- 确定了四种不同的实施方法:由县领导的技术,由县领导的基层,小规模阿片类药物过量预防计划 (OOPP) 合同,以及全面的OOPP合同,包括过量教育和纳洛分发 (OEND).
- 由县领导的方法比OOPP合同 (每剂量183美元至266美元) 更具成本效益 (每剂量28美元至38美元),成本因OEND等附加服务而有所不同.
- 障碍包括竞争的公共卫生需求 (例如,COVID-19),耻辱和农村地区的地理接入,而现有的基础设施有助于城市实施.
结论:
- 如果有可用的资源,内部纳洛住房单元的安装和维护可能比外部承包更具成本效益.
- 包括OEND在内的合同可能会增强对目标人群的接触,从而可能提高有效性.
- 卫生部门的资金和立法支持对于促进公众的纳洛可用性至关重要.
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