Davis Corey S, Green Traci C, Zaller Nickolas D
Network for Public Health Law, Carrboro, NC, USA.
Boston Medical Center Injury Center, Department of Emergency Medicine, Boston University School of Medicine, Boston, USA.
Drug Alcohol Rev. 2016 Jul;35(4):383-6. doi: 10.1111/dar.12321. Epub 2015 Sep 1.
Fatal opioid overdose, the leading cause of injury death in the USA, is regularly described as an epidemic. The response to the overdose crisis, however, has largely failed to utilise many of the public health tools that have proven effective in combating epidemics. Chief among these is the systematic and timely use of data by public health officials to track outbreaks and effectively target interventions. This failure is particularly acute regarding data from prescription monitoring programmes, which are routinely used by clinicians and law enforcement agents, but often unavailable to health officials. We argue for a shift in emphasis and resources towards an evidence-based public health approach to data use for overdose prevention. [Davis CS, Green TC, Zaller ND. Addressing the overdose epidemic requires timely access to data to guide interventions. Drug Alcohol Rev 2016;35:383-386].
在美国,致命性阿片类药物过量是伤害死亡的首要原因,常被描述为一场流行病。然而,针对过量用药危机的应对措施在很大程度上未能利用许多已被证明在抗击流行病方面有效的公共卫生工具。其中最主要的是公共卫生官员系统且及时地使用数据来追踪疫情爆发并有效定位干预措施。在来自处方监测项目的数据方面,这种失败尤为严重,临床医生和执法人员经常使用这些数据,但卫生官员往往无法获取。我们主张将重点和资源转向基于证据的公共卫生方法,以利用数据预防过量用药。[戴维斯CS,格林TC,扎勒ND。应对过量用药流行需要及时获取数据以指导干预措施。《药物与酒精评论》2016年;35:383 - 386]