Lines for Life, Portland, Oregon, USA.
OHSU-PSU School of Public Health, Oregon Health & Science University, Portland, Oregon, USA.
Clin Pharmacol Ther. 2018 Jun;103(6):959-962. doi: 10.1002/cpt.992. Epub 2018 Jan 31.
Public health policy responses to the opioid epidemic require addressing both opioid supply and opioid demand. The growth in prescriptions of opioid analgesics, for example, is associated with escalating opioid overdose fatalities. Enhanced access to opioid agonist treatment, conversely, is required to curb demands driven by opioid use disorders. Oregon's multidimensional approaches toward opioid misuse and abuse achieved 20% reductions in opioid prescribing and a 30% reduction in the opioid overdose fatality rate.
公共卫生政策应对阿片类药物泛滥需要解决阿片类药物供应和需求两方面的问题。例如,阿片类止痛药处方的增加与阿片类药物过量致死人数的上升有关。相反,需要增加阿片类激动剂治疗的可及性,以遏制阿片类药物使用障碍所带来的需求。俄勒冈州采取多维度的方法来应对阿片类药物滥用和误用,使阿片类药物的处方减少了 20%,阿片类药物过量致死率降低了 30%。