规范准法律市场:来自法律的证据
Yuji Mizushima1, David Powell2, Rahi Abouk3
1RAND, United States.
概括
疼痛管理诊所法律 (PMCLs) 显著减少了有问题的阿片类药物处方和过量死亡. 这些法规制了从业人员的阿片类药物分销,显示了对阿片类药物危机的有效性.
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:
- 阿片类药物危机被"药片厂"和处方阿片类药物的不适当分销所加剧.
- 疼痛管理诊所法律 (PMCLs) 颁布,以规范阿片类药物处方机构.
研究的目的:
- 评估PMCLs对阿片类药物处方实践和过量死亡率的影响.
- 评估PMCL是否导致非法阿片类药物的替代效应.
主要方法:
- 使用Medicare索赔数据的差异差异框架.
- 对交易级别阿片类药物运输数据的分析.
- 检查过量死亡率的死亡率数据.
主要成果:
- PMCL与有问题的阿片类药物处方和"医生购物"的显著减少有关.
- PMCLs导致从业者直接分发的阿片类药物的数量大幅减少.
- 观察到涉及处方阿片类药物过量死亡率的减少,几乎没有证据表明转向非法阿片类药物市场.
结论:
- PMCLs是减轻处方阿片类药物滥用和相关过量死亡的有效政策工具.
- 这些发现表明,PMCLs需要政策制定者更广泛地考虑,以应对持续的阿片类药物危机.
相关概念视频
Analgesia and Pain Management
1.5K
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...
1.5K
Drug Control Governance: Regulatory Bodies and Their Impact
481
Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with...
481
Opioid Analgesics: Synthetic and Semisynthetic Opioids
906
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...
906
Drug Regulation
2.7K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
2.7K
Prescription, Nonprescription and Orphan Drugs
1.2K
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
1.2K
Pain
1.2K
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
1.2K


