什么驱动了风险的处方阿片类药物使用? : 移民的证据
Amy Finkelstein1, Matthew Gentzkow2, Dean Li3
1MIT and NBER.
概括
搬到风险较高的阿片类药物使用的州增加了成的可能性. 国家政策,如疼痛诊所法律,可以显著减少风险的处方阿片类药物使用,特别是当早期颁布时.
科学领域:
- 卫生经济学 卫生经济学
- 流行病学 流行病学
- 公共政策 公共政策
背景情况:
- 阿片类药物流行是由复杂的人和特定地点的因素驱动的.
- 了解这些驱动因素对于有效的政策干预至关重要.
- 州级阿片类药物政策已经显示出不同的影响.
研究的目的:
- 开发和估计风险处方阿片类药物使用的动态模型.
- 确定阿片类药物流行病的个人和特定地点的驱动因素.
- 评估国家阿片类药物政策对危险使用的影响.
主要方法:
- 风险处方阿片类药物使用的动态建模.
- 事件研究分析了成年残疾人保险受益人 (2006-2019).
- 潜在结果框架用于映射模型因素.
主要成果:
- 迁移到风险使用率较高的州会导致风险阿片类药物使用的立即和逐渐增加.
- 地方特定因素显著影响成过渡和阿片类药物可用性.
- 州疼痛诊所法律减少了5%的风险使用,如果早些时候颁布,可能会减少30%.
- 在所有位置效应中减少一个标准偏差可以减少40%的风险使用.
结论:
- 基于地点的因素是危险的处方阿片类药物使用和成的重要驱动因素.
- 国家阿片类药物政策,特别是疼痛诊所法律,可以有效地减轻风险使用.
- 限制性政策的早期颁布扩大了它们对减少阿片类药物流行病动态的影响.
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