Kyei Evans F, Duah Akwasi, Ansong Rockson, Kyei Grace K, Zhang Lingling
Manning College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.
Center for Substance Use Research and Related Conditions, Capstone College of Nursing, The University of Alabama, Tuscaloosa, AL, USA.
Policy Polit Nurs Pract. 2025 Nov;26(4):238-255. doi: 10.1177/15271544251370699. Epub 2025 Sep 4.
This article presents a comprehensive stakeholder analysis within the context of opioid overdose prevention in Boston, showcasing the development and application of an integrated framework designed to address the complex dynamics of the opioid crisis. Utilizing a modified Agency for Healthcare Research and Quality stakeholder analysis tool, this study categorized key stakeholders into four main groups: healthcare providers, law enforcement officers, health policy officials, and community leaders. Through in-depth, semistructured interviews with 15 stakeholders recruited from Boston's Mayor's Task Force for Opioid Remediation, we synthesized insights to map out strategic intelligence essential for policy formulation and enhanced stakeholder engagement. The analysis highlighted the necessity of multisector collaboration and identified critical leverage points that could influence future interventions. The findings underscored the potential of tailored interventions that consider the unique needs and contributions of different stakeholder groups, advocating for policy reforms that support comprehensive public health strategies. The integrated framework represents a proposed implementation model for Boston, demonstrating adaptability for other urban settings. The framework introduces innovative strategies for continuous improvement and adaptation, informed by stakeholder feedback. This research contributes to the field by demonstrating the effectiveness of stakeholder analysis in developing actionable and sustainable public health policies, providing a replicable model for other urban settings facing similar public health challenges.
本文介绍了波士顿阿片类药物过量预防背景下的全面利益相关者分析，展示了一个旨在应对阿片类药物危机复杂动态的综合框架的开发与应用。本研究使用经过修改的医疗保健研究与质量局利益相关者分析工具，将关键利益相关者分为四个主要群体：医疗保健提供者、执法人员、卫生政策官员和社区领袖。通过对从波士顿阿片类药物补救市长特别工作组招募的15名利益相关者进行深入的半结构化访谈，我们综合了见解，以梳理出政策制定和加强利益相关者参与所需的战略情报。分析强调了多部门合作的必要性，并确定了可能影响未来干预措施的关键杠杆点。研究结果强调了考虑不同利益相关者群体独特需求和贡献的量身定制干预措施的潜力，倡导支持全面公共卫生战略的政策改革。该综合框架代表了波士顿的一个拟议实施模式，展示了对其他城市环境的适应性。该框架引入了基于利益相关者反馈的持续改进和适应的创新策略。本研究通过证明利益相关者分析在制定可操作和可持续公共卫生政策方面的有效性，为该领域做出了贡献，为面临类似公共卫生挑战的其他城市环境提供了一个可复制的模式。
