在纽约州社区实施基于证据的实践以减少阿片类药物过量死亡的成本
Jazmine M Li1, Dawn Gruss2, Timothy Hunt2
1Department of Population Health Sciences, Weill Cornell Medicine, 575 Lexington Avenue, New York, NY, 10022, USA.
Addiction science & clinical practice
|October 2, 2025
概括
纽约社区的基于证据的实践 (EBP) 的实施成本在第二波中较低. 农村社区在过量教育和纳洛分发 (OEND) 以及阿片类药物使用障碍 (MOUD) 药物方面的人均成本较高.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 治愈社区研究评估了一项社区参与的干预,以部署基于证据的实践 (EBP) 来治疗阿片类药物使用障碍.
- 该研究的重点是过量教育和纳洛分发 (OEND),阿片类药物使用障碍 (MOUD) 药物治疗以及更安全的阿片类药物处方.
- 在纽约州 (NYS) 的16个农村和城市社区估计了实施成本.
研究的目的:
- 为了估计NYS社区在HEALing社区研究中选择的EBP的实施成本.
- 为未来社区层面的决策提供信息,以确定为成治疗和预防的资源配置.
主要方法:
- 从社区的角度进行了微成本分析,通过发票和采访前性收集数据.
- 我们将第1波 (2020年1月至2022年6月) 和第2波 (2022年7月至2023年12月) 的成本数据进行比较.
- 根据EBP类别 (OEND,MOUD,更安全的处方) 和农村与城市环境的人均成本进行了分析.
主要成果:
- 每个社区的平均EBP成本在第2波 (312,000美元) 与第1波 (700,000美元) 相比显著降低.
- 药物治疗阿片类药物使用障碍 (MOUD) 是两波最大的成本类别 (第1波为71%,第2波为60%).
- 与城市社区相比,农村社区的人均成本 (第1波为2.65美元,第2波为0.65美元) 相当高 (第1波为0.32美元,第2波为0.41美元).
结论:
- 第二波的成本降低可能归因于选定的EBP的差异,干预的持续时间以及COVID-19大流行的影响.
- 农村地区人均成本较高表明,资源分配不仅仅取决于服务的个体数量.
- 调查结果强调需要量身定制的成本评估,考虑到社区特定的因素和干预组件.
相关概念视频
Opioid Analgesics: Synthetic and Semisynthetic Opioids
925
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...
925
Healthcare Agencies II
1.0K
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,...
1.0K
Opioid Analgesics: Morphine and Other Natural Cogeners
860
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...
860
Methods Of Healthcare Delivery System
4.0K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.0K
Healthcare Associated Infections II: Preventive Measures
3.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.6K
Nursing Implementation
5.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.9K


