Suchergebnisse

In 2019, the Chinese government implemented the first round of the National Centralized Drug Procurement (NCDP) pilot (so-called "4 + 7" policy) in mainland China, in which 25 drugs were included. We conducted this study to examine the impacts of NCDP policy on drug utilization and expenditures, and to clarify the main factors contributing to drug expenditure changes. This study used drug purchasing order data from the Centralized Drug Procurement Survey in Shenzhen 2019. Drugs related to the "4 + 7" policy were selected as study samples, including 23 "4 + 7" policy-related varieties and 15 basic alternative drugs. Driving factors for drug expenditures changes were analyzed using A.M. index system analysis (Addis A. & Magrini N.' method). After the implementation of the NCDP policy, the volume of "4 + 7" policy-related varieties increased by 73.8%, among which winning products jumped by 1638.2% and non-winning products dropped by 70.8%; the expenditures of "4 + 7" policy-related varieties decreased by 36.9%. Structure effects (0.47) and price effects (0.78) negatively contributed to the increase in drug expenditures of "4 + 7" policy-related varieties, while volume effects (1.73) had positive influence. NCDP policy successfully decreased drug expenditures of "4 + 7" policy-related varieties with structure effects playing a leading role. However, total drug expenditures were not effectively controlled due to the increasing use of alternative drugs.

Critical of US plan to emphasize interdiction efforts in Latin American countries over reducing domestic demand.

In this fascinating new work, Karen Duke explores the conflicts and contradictory pressures in the development of prison drugs policy in Britain from 1980 to the present. Based on interviews with key policy actors and documentary analysis, it explores how policy networks around drug issues in prisons have attempted to contain the contradictions between treatment and punishment and how their activities have been shaped by the ways in which the drugs issue is framed, the roles of research, evidence and knowledge, and the impact of wider social, political, policy and institutional contexts.

Since the War on Drugs began, U.S. drug policy has been dominated by a law and order policy model. The emphasis on incarceration and punishment as responses to drug use has resulted in the neglect of public health concerns related to drug addiction. In this paper I trace the development of drug policy in the United States and argue that the social construction of drug offenders as a deviant population has led to the dominance of the law and order approach to drugs. While other scholars have argued that perceptions of drug users affect drug policy, this analysis focuses specifically on the creation and consequences of social constructions for modern drug policy within the policy design framework. By analyzing current trends this paper identifies a way forward for drug policy reform and calls for the adoption of a public health approach to drug use.