Evidence map›Paper›PMID 39043099›Full record

ArticleJournal of health economics2024

Investigating the complexity of naloxone distribution: Which policies matter for pharmacies and potential recipients.

Rosanna Smart, David Powell, Rosalie Liccardo Pacula, Evan Peet, Rahi Abouk, Corey S Davis

Abstract read
In one paragraph

Article in Journal of health economics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Improving Policy Evaluations Of The Opioid Crisis.Health affairs (Project Hope) · 2025
    Article
  4. Article
  5. Article
  6. Price Sensitivity and Information Barriers to the Take-Up of Naloxone.American economic journal. Economic policy · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rosanna SmartRAND, United States.
David PowellRAND, United States. Electronic address: dpowell@rand.org.
Rosalie Liccardo PaculaUniversity of Southern California and NBER, United States.
Evan PeetRAND, United States.
Rahi AboukWilliam Paterson University, United States.
Corey S DavisNetwork for Public Health Law, United States.

Funding

Optimal Methods for Estimating Policy Effect Heterogeneity in Opioid Policy ResearchP50DA046351 · NIDA · RAND CORPORATION · PI BRADLEY D STEIN · 2018 to 2026
$20.8M
CALIFORNIA CENTER FOR POPULATION TRAINING PROGRAMT32HD007545 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ, Megan M Sweeney · 2001 to 2026
$4.1M
Improving Naloxone Access and Its Effects on Drug Abuse and OverdosesR01CE002999 · CE · RAND CORPORATION · PI POWELL, DAVID · 2018 to 2020
$1.9M
State Naloxone Policies: Exploring Effects of Implementation on EMS and Community Bystander UseR21DA045950 · NIDA · RAND CORPORATION · PI SMART, ROSANNA · 2018 to 2019
$474k
NCIPC CDC HHS R01 CE002999NICHD NIH HHS T32 HD007545NIDA NIH HHS P50 DA046351NIDA NIH HHS R21 DA045950
6 · The paper itself

Abstract

Despite efforts to expand naloxone access, opioid-related overdoses remain a significant contributor to mortality. We study state efforts to expand naloxone distribution through pharmacies by reducing the non-monetary costs to prescribers, dispensers, and/or potential recipients of naloxone. We find that laws that only address liability costs have small and insignificant effects on the volume of naloxone dispensed through pharmacies. In contrast, we estimate large effects of laws removing the need for patients to obtain prescriptions from traditional prescribers (e.g., primary care physicians): laws authorizing non-patient-specific prescription distribution and laws granting pharmacists prescriptive authority. We test whether areas designated as primary care shortage areas-where it would be costlier to obtain a prescription-were disproportionately impacted. Shortage areas experienced sharper growth in pharmacy naloxone dispensing in states adopting prescriptive authority policies. These gains were primarily due to those facing low out-of-pocket costs, suggesting that price barriers also must be addressed to increase naloxone purchases.

Indexed as

NaloxoneNarcotic AntagonistsHealth PolicyHumansPharmaciesUnited StatesNaloxoneNarcotic AntagonistsHarm reductionNaloxoneOpioid crisisPharmacy distributionPrescriptive authority

Identifiers

PMID39043099
PMCPMC11392605

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.