Thomas Cindy Parks
Heller Graduate School for Social Policy and Management, Brandeis University, Waltham, MA.
J Addict Med. 2022;16(2):130-131. doi: 10.1097/ADM.0000000000000862.
State policies play a critical role in determining health care delivery, health equity, and health outcomes, but vary widely in scope, target, restrictiveness, and goals. Understanding how such policies impact health care is critical to development of evidence-based policies, but difficult in the absence of organized and standardized approaches to analysis. Development of themes and frameworks for analysis, and identification of policies supported by evidence, are important steps in moving toward more rational and aligned policies. Buprenorphine treatment for opioid use disorder provides a good example and methodological foundation. At the same time, state policies are promulgated within a larger policy, treatment, and socio-economic environment, and these influences must be considered as well.
国家政策在决定医疗服务提供、健康公平性和健康结果方面发挥着关键作用，但在范围、目标、限制性和目标方面差异很大。了解此类政策如何影响医疗保健对于制定循证政策至关重要，但在缺乏有组织和标准化的分析方法的情况下却很困难。制定分析主题和框架以及确定有证据支持的政策是朝着更合理和协调一致的政策迈进的重要步骤。丁丙诺啡用于治疗阿片类物质使用障碍就是一个很好的例子和方法基础。与此同时，国家政策是在更大的政策、治疗和社会经济环境中颁布的，这些影响也必须予以考虑。
