针对非道德治疗实践的国家政策与阿片类药物相关结果之间的关系:事件研究分析
Melissa M Garrido1,2,3, Sivagaminathan Palani1,2, PhiYen Nguyen1,2
1Partnered Evidence-based Policy Resource Center, Boston VA Healthcare System, Boston, MA, USA.
Substance use & addiction journal
|September 6, 2025
概括
针对患者经纪的州法律没有显著影响与阿片类药物相关的结果,例如死亡率或紧急诊所. 这些药物使用障碍治疗法律的有效性可能需要更多的资源.
科学领域:
- 公共卫生
- 卫生政策
- 药物使用障碍的治疗
背景情况:
- 越来越多的人意识到在药物使用障碍 (SUD) 治疗中不道德的做法.
- 美国有几个州颁布了针对患者经纪和欺骗性营销的法律, 以保护SUD患者.
- 这些患者中介法律的有效性仍未知.
研究的目的:
- 评估针对患者经纪的州法律对阿片类药物相关结果的影响.
- 确定立法干预措施是否可以减少SUD治疗的不良结果.
- 评估患者经纪法律与阿片类药物死亡率,急救诊所和住院病人的关系.
主要方法:
- 匹配事件研究分析,比较有和没有患者经纪法律的州.
- 分析人口水平与阿片类药物相关的死亡率,急诊室访问和住院情况.
- 包括具有类似人口和监管特征的比较国家.
主要成果:
- 在实施患者经纪法律后,没有观察到与阿片类药物相关的死亡率,急救诊所或住院情况的重大变化.
- 分析包括截至2019年的数据,检查月度和季度结果率.
- 还分析了不寻常的SUD服务索赔模式.
结论:
- 针对患者经纪的州法律的通过与阿片类药物相关结果的显著改善无关.
- 目前的立法工作可能需要额外的资源来有效实施和执行.
- 需要进一步的政策评估,以了解如何最好地保护SUD患者免受与治疗相关的伤害.
更多相关视频
08:05A Procedure to Study Stress-Induced Relapse of Heroin Seeking after Punishment-Imposed Abstinence
Published on: March 23, 2022
2.6K
16:02Demonstration of the Sequence Alignment to Predict Across Species Susceptibility Tool for Rapid Assessment of Protein Conservation
Published on: February 10, 2023
2.8K
相关概念视频
Analgesia and Pain Management
788
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
788
Opioid Analgesics: Synthetic and Semisynthetic Opioids
419
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
419
Opioid Analgesics: Morphine and Other Natural Cogeners
360
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
360
Healthcare Agencies II
749
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
749
Opioid Receptors: Overview
1.8K
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
1.8K
Ethical Issues
1.2K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.2K
