School of Social Work, The University of Texas at Austin, Austin, TX 78712, USA.
Soc Work Health Care. 2012;51(5):383-401. doi: 10.1080/00981389.2012.660568.
Screening and brief intervention (SBI) in health care settings is an evidence-based practice for substance misuse. The Uniform Accident and Sickness Policy Provision Law (UPPL) discourages providers from carrying out SBI by allowing insurers in 26 states to refuse coverage for injuries resulting from intoxication. This project used a qualitative case study methodology to understand how policy-advocacy communication may have impacted the success of UPPL repeal efforts in Texas. Results showed bill progress could have been impeded due to less-effective communication from advocates. These findings suggest the quality of communication may influence the success of evidence-based policy-advocacy for UPPL repeal.
在医疗保健环境中进行筛查和简短干预（SBI）是一种针对药物滥用的循证实践。统一事故和疾病政策条款法（UPPL）允许 26 个州的保险公司拒绝因醉酒导致的伤害进行保险，从而阻碍了提供者实施 SBI。该项目采用定性案例研究方法，了解政策倡导沟通如何影响德克萨斯州废除 UPPL 的努力的成功。结果表明，由于倡导者的沟通效果较差，法案的进展可能受到阻碍。这些发现表明，沟通质量可能会影响基于证据的 UPPL 废除政策倡导的成功。
