Thasina Tabashum, Robert Cooper Snyder, Megan K O'Brien, Mark V Albert
Machine Learning Models for Parkinson Disease: Systematic Review
JMIR medical informatics
expanding public naloxone access key strategy reduce opioid overdose fatalities describe tailored communityengaged datadriven approaches install maintain naloxone housing units naloxone boxes new york state estimate cost approaches guided consolidated framework implementation research collected data administrative records key informant interviews documented unique processes employed four counties enrolled healing communities study install maintain naloxone housing units conducted prospective microcosting analysis estimate cost naloxone housing unit strategy community perspective counties used coalition guide action planning naloxone distribution identified unique approaches implementing naloxone housing units 1 countyled technology expansion 2 countyled grassroots 3 smallscale rural opioid overdose prevention program oopp contract 4 comprehensive oopp contract including overdose education naloxone distribution oend individuals first two countyled approaches lower cost per naloxone dose disbursed 2838 compared outsourcing oopp 183266 costs depended services added installing maintaining units oend barriers included competing demands public health resources ie covid19 stigma toward naloxone opioid use disorder geographic access barrier rural areas whereas existing infrastructure facilitator urban counties policy landscape new york state provides free naloxone kits financial support oopps facilitated implementation counties community resources installing maintaining naloxone housing units inhouse less expensive contracting outside partner however contracts include oend may effective reaching target populations financial support health departments legislative authorization important facilitators making naloxone available public settings