Harvard Medical School, Boston, MA, USA; Harvard Business School, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA; Brigham and Women's Hospital, Boston, MA, USA.
Healthc (Amst). 2021 Dec;9(4):100592. doi: 10.1016/j.hjdsi.2021.100592. Epub 2021 Nov 2.
There has been an increased focus on the opioid epidemic in the United States, yet policy-based interventions such as prescription limits, restrictions on doctor shopping, and notification programs for high-volume prescribers have had no significant impact. In this paper, the authors explore a novel public health policy: a joint public-private partnership between the federal government and hospitals to establish long-term treatment centers for patients admitted to the emergency department after an overdose. These centers would provide medication for opioid use disorder, give individuals the necessary support for recovery, and reduce healthcare expenditures. Similar longitudinal strategies may be used in other areas of public health.
美国越来越关注阿片类药物泛滥问题，但基于政策的干预措施，如处方限制、限制医生滥开处方和向大量开药医生发出通知的计划，都没有产生重大影响。在本文中，作者探讨了一项新的公共卫生政策：联邦政府与医院之间建立公私合作伙伴关系，为因过量用药而被送进急诊室的患者设立长期治疗中心。这些中心将提供治疗阿片类药物使用障碍的药物，为个人康复提供必要的支持，并减少医疗保健支出。类似的纵向策略可能在其他公共卫生领域使用。
