Comparative Analysis of State Level Health Policy Support for Opioid Abuse Mitigation in Rural America

In rural America, opioid use disorder (OUD) continues to adversely impacted familial, public, and economic systems, creating extraordinary societal and financial burden. This comparative analysis of state-level public health policy and practices in rural opioid use abatement promotes the development...

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Bibliographic Details
Published in:	Journal of health and human services administration Vol. 44; no. 2; pp. 137 - 161
Main Authors:	Shaver, Carrie S., Johnson, James A., Greenhill, Richard G., Nadimidla, Sudha
Format:	Journal Article
Language:	English
Published:	Los Angeles, CA SAGE Publications 22-09-2021 Southern Public Administration Education Foundation, Inc Southern Public Administration Education Foundation
Subjects:	Annual reports Best practice Chronic illnesses Comparative analysis Disease Drug abuse Drug overdose Economic systems Evidence-based medicine Fairness Families & family life Good samaritans Health care expenditures Health care policy Health disparities Health policy Health services Hepatitis Heroin HIV Human immunodeficiency virus Immune system Legislation Literature reviews Medicaid Mortality Narcotic laws Narcotics Opioids Policy analysis Political aspects Public finance Public health Resource allocation Rural areas Strategic planning (Business) Substance abuse treatment Substance use disorder Systematic review Vermont West Virginia Indiana United States > US Colorado Massachusetts Kentucky Ohio Kansas Rural opioid use abatement Opioid use disorder Comparative analysis Public health policy
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Summary:	In rural America, opioid use disorder (OUD) continues to adversely impacted familial, public, and economic systems, creating extraordinary societal and financial burden. This comparative analysis of state-level public health policy and practices in rural opioid use abatement promotes the development and implementation of contextualized evidence-based comprehensive policy initiatives. Policy analysis across select highly affected states (Indiana, Kansas, Kentucky, and West Virginia) and exemplar OUD policy response states (Colorado, Massachusetts, Ohio, and Vermont) was performed using a systematic review of literature, legislation, plans, and policies. Findings included close alignment between states’ OUD policies and public health best practice standards; minimized differences between exemplar and highly affected states policy responses; and resource driven gaps in opioid epidemic legislation, regulation, guidelines, strategic plans, and initiatives. Furthermore, it is advocated that public and private stakeholders committed to health equity must seek reductions in opioid related disease and mortality through increased resource allocation.
ISSN:	1079-3739 2168-5509
DOI:	10.37808/jhhsa.44.2.3