实施需求评估,促进用药过量预防和监测行动中的健康公平。

IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Reports Pub Date : 2024-07-01 Epub Date: 2024-03-22 DOI:10.1177/00333549241239905
Tiffany R Winston, Minda Reed, Marissa Roberts, Aashna Panjwani, Jennifer Farfalla, Victoria Pless, Ayana Miles, Cherie Rooks-Peck, Natasha L Underwood
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引用次数: 0

摘要

目标:州、地方和联邦机构已加大力度解决用药过量的根本原因,包括健康不公平和相关的健康社会决定因素。作为 "过量数据转化为行动"(OD2A)技术援助的提供者,州和地区卫生官员协会(ASTHO)进行了首次全国需求评估,以了解 OD2A 管辖机构在促进健康公平方面的能力和技术援助需求:方法:2022 年 2 月至 3 月期间,ASTHO 设计并向 66 个由 OD2A 资助的辖区分发了 OD2A 受援方健康公平需求评估 (RHENA)。我们通过电子邮件联系了 OD2A 的主要调查人员和工作人员,并要求他们在 6 周内完成需求评估。一名编码员对开放式回答进行了手动编码,对定性数据进行了主题分析,对定量数据进行了简单的频率分析:52 个辖区(78.8%)做出了回应,其中包括 36 个州、12 个市/县和 2 个地区。大多数辖区(n = 46;88.5%)报告已设立正式或非正式的健康公平领导机构。常见的障碍包括缺乏数据来源(n = 37;71.2%)、缺乏合作伙伴(n = 20;38.5%)以及缺乏资金(n = 14;26.9%)。受访者表示,需要在辖区和伙伴组织之间进行更多的信息共享、最佳实践辅导,以及例行讨论,如同行学习会议:调查结果表明,在解决用药过量预防中的不平等问题的计划政策和原则方面仍存在差距。研究结果正被用于确定更多的技术援助机会、辖区能力以及促进健康公平的方法。
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Implementing a Needs Assessment to Advance Health Equity in Overdose Prevention and Surveillance Initiatives.

Objectives: State, local, and federal agencies have expanded efforts to address the root causes of overdoses, including health inequity and related social determinants of health. As an Overdose Data to Action (OD2A) technical assistance provider, the Association of State and Territorial Health Officials (ASTHO) conducted the first national needs assessment to understand capacity and technical assistance needs of OD2A jurisdictions in advancing health equity.

Methods: ASTHO designed and disseminated the OD2A Recipient Health Equity Needs Assessment (RHENA) to 66 OD2A-funded jurisdictions from February to March 2022. OD2A principal investigators and staff were contacted via email and asked to complete the needs assessment within 6 weeks. One coder manually coded open-ended responses, conducted a thematic analysis on the qualitative data, and performed a simple frequency analysis on the quantitative data.

Results: Fifty-two jurisdictions (78.8%) responded, including 36 states, 12 cities/counties, and 2 territories. Most jurisdictions (n = 46; 88.5%) reported having a formal or informal health equity lead in place. Common barriers included a lack of access to data sources (n = 37; 71.2%), lack of partnerships (n = 20; 38.5%), and lack of funding (n = 14; 26.9%). Respondents reported needing more information sharing among jurisdictions and partner organizations, coaching on best practices, and routine discussions such as peer-to-peer learning sessions.

Conclusion: Findings suggest that gaps remain in programmatic policies and principles to address inequities in overdose prevention. Results are being used to identify additional technical assistance opportunities, jurisdictional capacity, and approaches to advance health equity.

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来源期刊
Public Health Reports
Public Health Reports 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.00
自引率
6.10%
发文量
164
审稿时长
6-12 weeks
期刊介绍: Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.
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