Center for State, Tribal, Local, and Territorial Support (Drs Pepin and Hulkower) and National Center on Birth Defects and Developmental Disabilities (Dr McCord), Centers for Disease Control and Prevention, Atlanta, Georgia.
J Public Health Manag Pract. 2020 May/Jun;26(3):227-231. doi: 10.1097/PHH.0000000000001036.
Opioid-involved drug overdose deaths have been a growing concern in the United States for several decades. The Centers for Disease Control and Prevention identified several strategies to address the opioid overdose epidemic, including increased availability of and access to medication-assisted treatment and guidance on safer opioid prescribing practices. Telehealth offers the potential for increasing access and availability to these strategies, and laws governing telehealth have implications for their utilization. To understand how state telehealth laws intersect with the opioid overdose epidemic, we conducted a legal mapping study, a type of legal epidemiological assessment, of statutes and regulations that intersect at telehealth and opioids. This search yielded 28 laws from 17 states. These laws intersect both telehealth and the opioid overdose epidemic in different ways including prescribing limitations, opioid treatment through medication and counseling, patient plan review, and professional collaboration. Continued legal and policy surveillance is needed to be able to evaluate the impact of law in addressing opioid overdose outcomes.
几十年来，阿片类药物相关的药物过量死亡一直是美国日益关注的问题。疾病控制与预防中心确定了几种策略来解决阿片类药物过量流行问题，包括增加药物辅助治疗的可及性和获取途径，以及更安全的阿片类药物处方实践指南。远程医疗有可能增加这些策略的可及性和可用性，而管理远程医疗的法律对其利用具有影响。为了了解州远程医疗法律如何与阿片类药物过量流行相互交叉，我们对与远程医疗和阿片类药物交叉的法规和法规进行了法律映射研究，这是一种法律流行病学评估。该搜索从 17 个州共获得了 28 项法律。这些法律以不同的方式与远程医疗和阿片类药物过量流行相互交叉，包括处方限制、通过药物和咨询进行阿片类药物治疗、患者计划审查和专业协作。需要持续进行法律和政策监测，以便能够评估法律在解决阿片类药物过量结果方面的影响。
