调查纳洛分发的复杂性:哪些政策对药房和潜在的接收者来说很重要
Rosanna Smart1, David Powell1, Rosalie Liccardo Pacula2
1RAND, United States.
Journal of health economics
|July 23, 2024
概括
通过药房扩大纳洛的获取范围对于打击阿片类药物过量服用至关重要. 授权药剂师处方纳洛的政策显著增加了它的发行量,特别是在服务不足的地区,但成本障碍仍然存在.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 药理学 药理学是指药理学的学科.
背景情况:
- 与阿片类药物相关的过量服用仍然是死亡的主要原因,尽管增加了扩大纳洛获取机会的努力.
- 基于药房的纳洛分销是打击阿片类药物危机的关键策略.
研究的目的:
- 评估旨在降低纳洛通过药房分销相关的非货币成本的国家政策的影响.
- 评估不同类型的政策变化如何影响纳洛分发量.
主要方法:
- 分析影响纳洛获取和通过药房分发的州法律.
- 对责任改革,非患者特异性处方和药剂师处方权对纳洛发行影响的经济学评估.
- 检查在初级保健短缺地区的差异性影响.
主要成果:
- 仅针对责任成本的法律对纳洛分发的影响最小.
- 授权药剂师处方纳洛的政策 (无论是非患者特异性还是通过处方权) 显示,处方的数量显著增加.
- 在缺乏初级保健的地区,在采用处方权政策后,药房纳洛分发的增加更大.
- 规范性权威政策的积极影响对那些自付成本较低的人来说最为明显.
结论:
- 消除对传统处方的需求并授予药剂师处方权的政策有效地增加了纳洛的获取.
- 解决非货币 (例如,处方要求) 和货币 (例如,自付费用) 的障碍对于最大限度地购买纳洛和减轻阿片类药物过量死亡率至关重要.
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