一个简单的启发式方法,用于分配解决阿片类药物问题的资金,以降低美国的用药过量死亡率。

IF 2.7 3区 医学 Q2 PSYCHOLOGY, CLINICAL American Journal of Drug and Alcohol Abuse Pub Date : 2024-05-03 Epub Date: 2024-06-28 DOI:10.1080/00952990.2024.2364338
Alexandra Skinner, Shayla Nolen, Magdalena Cerdá, Josiah D Rich, Brandon D L Marshall
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引用次数: 0

摘要

作为针对制药商和其他利益相关者的阿片类药物相关索赔和诉讼的解决方案,州政府和地方政府新近有资格获得数百万美元的和解资金,以应对美国的用药过量危机。为了有效利用阿片类药物和解基金,我们提出了一个简单的框架,强调用药过量死亡率的主要决定因素:每年面临用药过量风险的人数、每个面临风险的人平均每年用药过量的次数以及每次用药过量事件的平均死亡概率。我们认为,每年吸毒过量死亡人数是这三个决定因素的函数,而所有这些因素都可以通过公共卫生干预加以改变。我们提出的启发式描述了毒品相关死亡率的每个驱动因素,以及为解决每个因素而设计的相应干预措施是如何单独或共同发挥作用的。我们希望政策制定者能将此框架作为一种工具,用于确定和评估公共卫生干预措施和资金优先次序,从而最有效地解决形成用药过量危机的结构性因素并减少用药过量死亡。
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A simple heuristic for allocating opioid settlement funding to reduce overdose mortality in the United States.

As resolution for opioid-related claims and litigation against pharmaceutical manufacturers and other stakeholders, state and local governments are newly eligible for millions of dollars of settlement funding to address the overdose crisis in the United States. To inform effective use of opioid settlement funds, we propose a simple framework that highlights the principal determinants of overdose mortality: the number of people at risk of overdose each year, the average annual number of overdoses per person at risk, and the average probability of death per overdose event. We assert that the annual number of overdose deaths is a function of these three determinants, all of which can be modified through public health intervention. Our proposed heuristic depicts how each of these drivers of drug-related mortality - and the corresponding interventions designed to address each term - operate both in isolation and in conjunction. We intend for this framework to be used by policymakers as a tool for identifying and evaluating public health interventions and funding priorities that will most effectively address the structural forces shaping the overdose crisis and reduce overdose deaths.

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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
68
期刊介绍: The American Journal of Drug and Alcohol Abuse (AJDAA) is an international journal published six times per year and provides an important and stimulating venue for the exchange of ideas between the researchers working in diverse areas, including public policy, epidemiology, neurobiology, and the treatment of addictive disorders. AJDAA includes a wide range of translational research, covering preclinical and clinical aspects of the field. AJDAA covers these topics with focused data presentations and authoritative reviews of timely developments in our field. Manuscripts exploring addictions other than substance use disorders are encouraged. Reviews and Perspectives of emerging fields are given priority consideration. Areas of particular interest include: public health policy; novel research methodologies; human and animal pharmacology; human translational studies, including neuroimaging; pharmacological and behavioral treatments; new modalities of care; molecular and family genetic studies; medicinal use of substances traditionally considered substances of abuse.
期刊最新文献
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