Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, United States.
Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States.
Curr Opin Psychol. 2019 Dec;30:65-73. doi: 10.1016/j.copsyc.2019.01.018. Epub 2019 Feb 4.
Stakeholders have implemented a multitude of system-level policies to address the U.S. opioid overdose epidemic. Because opioid prescribing partly fueled the crisis and because prescribing of medications for opioid addiction treatment is a key prevention strategy, it is critical to understand prescriber perceptions of policies in these domains. This article reviews prescriber awareness and opinions of the following system-level policies: opioid prescribing guidelines, prescription drug monitoring programs (PDMPs), medications for addiction treatment, and naloxone distribution programs. Most providers are aware of these policies, especially PDMPs, albeit a smaller proportion actively participate in their implementation. Low engagement in certain system-level policies is concerning and deserves attention, given that prescribers play an integral role in achieving optimal impact and mitigating the crisis.
利益相关者已经实施了许多系统层面的政策来解决美国阿片类药物过量流行的问题。由于阿片类药物的处方在一定程度上加剧了这场危机，而且处方治疗阿片类药物成瘾的药物是一种关键的预防策略，因此了解处方医生对这些领域政策的看法至关重要。本文回顾了处方医生对以下系统层面政策的认知和意见：阿片类药物处方指南、处方药物监测计划 (PDMP)、成瘾治疗药物和纳洛酮分发计划。大多数提供者都了解这些政策，尤其是 PDMP，尽管只有一小部分人积极参与其实施。某些系统层面政策的参与度低令人担忧，值得关注，因为医生在实现最佳效果和缓解危机方面发挥着不可或缺的作用。
