SOCIAL SUBSIDIES, ENVIRONMENTAL POLLUTION, AND UTILIZATION OF AGRICULTURAL WASTES: AN OREGON EXAMPLE

Environmental Economics and Policy,

LINEAR PROGRAMMING ANALYSIS OF POLICY INFLUENCED FACTORS AFFECTING WATER USE CONSERVATION IN ESTABLISHED IRRIGATION DISTRICTS

Resource /Energy Economics and Policy,

Knowledge Cartography for Controversies: The Iraq Debate

In analysing controversies and debates—which would include reviewing a literature in order to plan research, or assessing intelligence to formulate policy—there is no one worldview which can be mapped, for instance as a single, coherent concept map. The cartographic challenge is to show which facts are agreed and contested, and the different kinds of narrative links that use facts as evidence to define the nature of the problem, what to do about it, and why. We will use the debate around the invasion of Iraq to demonstrate the methodology of using a knowledge mapping tool to extract key ideas from source materials, in order to classify and connect them within and across a set of perspectives of interest to the analyst. We reflect on the value that this approach adds, and how it relates to other argument mapping approaches

A Multi-faceted Intervention to Improve Naloxone Co-Prescription Rates Among Primary Care Providers

It is estimated that 91 Americans die every day due to opioid overdoses, with at least half of those overdoses involving an opioid prescription (CDC, 2016d). To address this issue, the U.S. Department of Health and Human Services (USDHHS) has initiated an opioid initiative, and the Centers for Disease Control and Prevention (CDC) has released a clinical guideline, both of which include a focus on increasing use of naloxone. Despite these recommendations, providers often fail to co-prescribe naloxone to patients at increased risk of opioid overdose. The purpose of this evidence-based practice (EBP) project was to evaluate the effect of a multi faceted intervention (including the use of academic detailing sessions, provider reminders, and a clinical champion) to increase naloxone co-prescription rates within an Indian Health Services Tribal Health Department in the Midwestern United States. The Iowa Model of Evidence-based Practice and Kotter’s Change Model were used to guide this project, which was supported by 10 pieces of evidence obtained through a systematic search of the literature. Retrospective chart audits were conducted on patients receiving opioid prescriptions of 30 days or greater during the 12-week intervention period and the same time period in 2016. Descriptive statistics were used to compare the frequency of naloxone co-prescriptions pre-intervention (0 of 48 eligible patients; 0%) and post-intervention (10 of 40 eligible patients; 25%). The 25-percentage point increase in co-prescribing was consistent with the supportive evidence and reflected a statistically significant association between the multi-faceted intervention and naloxone co- prescription distribution (X2 = 13.538,

A Multi-faceted Intervention to Improve Naloxone Co-Prescription Rates Among Primary Care Providers

It is estimated that 91 Americans die every day due to opioid overdoses, with at least half of those overdoses involving an opioid prescription (CDC, 2016d). To address this issue, the U.S. Department of Health and Human Services (USDHHS) has initiated an opioid initiative, and the Centers for Disease Control and Prevention (CDC) has released a clinical guideline, both of which include a focus on increasing use of naloxone. Despite these recommendations, providers often fail to co-prescribe naloxone to patients at increased risk of opioid overdose. The purpose of this evidence-based practice (EBP) project was to evaluate the effect of a multi faceted intervention (including the use of academic detailing sessions, provider reminders, and a clinical champion) to increase naloxone co-prescription rates within an Indian Health Services Tribal Health Department in the Midwestern United States. The Iowa Model of Evidence-based Practice and Kotter’s Change Model were used to guide this project, which was supported by 10 pieces of evidence obtained through a systematic search of the literature. Retrospective chart audits were conducted on patients receiving opioid prescriptions of 30 days or greater during the 12-week intervention period and the same time period in 2016. Descriptive statistics were used to compare the frequency of naloxone co-prescriptions pre-intervention (0 of 48 eligible patients; 0%) and post-intervention (10 of 40 eligible patients; 25%). The 25-percentage point increase in co-prescribing was consistent with the supportive evidence and reflected a statistically significant association between the multi-faceted intervention and naloxone co- prescription distribution (X2 = 13.538,