The Effects of Naloxone Access Laws on Opioid Abuse, Mortality, and                         Crime

Doleac, Jennifer L.; Mukherjee, Anita

doi:10.1086/719588

Cited by 36 publications

(29 citation statements)

References 28 publications

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“…In fact, North Carolina and Maryland enacted laws to increase naloxone distribution by community organizations and police officers. However, Doleac and Mukherjee (2021) find that the expansion can lead to more opioid‐related ER visits and opioid‐related theft, with no net measurable reduction in mortality. Other states are reassessing drug laws and enforcement.…”

Section: Discussionmentioning

confidence: 99%

Electronic prescription monitoring and the opioid epidemic

Kim

Liu

2022

Production and Operations Management

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To combat the nationwide opioid epidemic, many states have implemented policies that require prescribers to check a patient's prescription history with Prescription Drug Monitoring Programs (PDMPs) prior to initiating or refilling opioid prescriptions. Using a difference‐in‐differences approach, we show that after states mandated PDMP use, opioid prescriptions decreased by 6.1% as intended. However, PDMP mandates had the unintended effect of driving existing opioid users towards more lethal illicit substitutes such as heroin. We found that reductions in prescription rates were accompanied by unprecedented rises in heroin overdose deaths: there were 6.37 more heroin‐related deaths per million population per year—a 50.1% increase—following PDMP mandates. Although stronger PDMP mandates (e.g., based on comprehensiveness, legal enforcement, integration with other health records, and interstate information sharing) reduced opioid prescriptions, we also find that stronger mandates inadvertently increased heroin overdose deaths. Additional analyses show that the substitution effect was not statistically significant among states with lower preexisting levels of pain reliever dependence, lower heroin availability, and greater access to substance abuse treatment. These findings point to an important policy implication: supply‐side restrictions such as mandated PDMP need to account for possible demand‐side substitution effects.

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Section: Discussionmentioning

confidence: 99%

Electronic prescription monitoring and the opioid epidemic

Kim

Liu

2022

Production and Operations Management

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“…There is mixed evidence regarding the impacts of these state NALs on fatal overdoses (Abouk et al, 2019;Doleac & Mukherjee, 2022;Erfanian et al, 2019;Lee et al, 2021;McClellan et al, 2018;Rees et al, 2019;Rudolph et al, 2022). Potential explanations for these mixed findings are that NALs vary in how they reduce the monetary or non-monetary costs of obtaining naloxone Davis & Carr, 2015).…”

Section: Introductionmentioning

confidence: 99%

Investigating the Complexity of Naloxone Distribution: Which Policies Matter for Pharmacies and Potential Recipients

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et al. 2023

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“…The term harm reduction has been applied to a wide range of approaches, including syringe exchange programs, supervised injection facilities, legalized prostitution, condom distribution, Naloxone access laws, and Good Samaritan Laws (Stancli et al, 2012;Rees et al, 2019;Packham, 2022;Doleac and Mukherjee, 2022;SAMHSA, 2023;U.S. Department of Health and Human Services, 2023).…”

mentioning

confidence: 99%

“…First, by deriving the conditions under which harm reduction leads to increased consumption by users or increased initiation by abstainers, we contribute to the economic literature on moral hazard in health behaviors (e.g. Bhattacharya et al, 2011;Margolis et al, 2014;Simon et al, 2017;Cotti et al, 2019;Dave et al, 2019;Frio and França, 2021;Doleac and Mukherjee, 2022;Agrawal et al, 2022). Second, we contribute to the economic literature on the specic harm reduction methods of ENDS or e-cigarettes and whether they are a substitute for combustible cigarettes (e.g.…”

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confidence: 99%