As a response to the COVID-19 pandemic, the United States Drug Enforcement Administration (DEA) has temporarily relaxed restrictions to serve people who are opioid dependent during social distancing mandates Changes include allowing patients to take home more doses of methadone and buprenorphine rather than coming to the clinic every day (for methadone) or weekly (for buprenorphine) and relaxed restrictions on telehealth delivery Telemedicine Program representatives have described the relaxing of federal regulations as a “silver lining” to the COVID-19 pandemic Drawing from medical anthropology approaches to epidemic surveillance and understandings of risk, we critically evaluate media representations of recent changes to telemedicine, prescribing, and opioid treatment delivery Ethnographic research with providers and stakeholders in Arizona from 2017 to the present add insight to our analysis of media reports on these topics Our findings demonstrate that media portrayal of access to medication-assisted treatment (MAT) as the key to preventing both COVID-19 and overdose among people who are opioid dependent misses important risks and potential inequities Applied social science questions raised by the new guidelines include: who receives take-home doses of methadone and buprenorphine and why;and how media representations of risk and benefit rationales shape real-world policy and practice Copyright © 2020 by the Society for Applied Anthropology

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另一个一线希望？：关于在 COVID-19 背景下放宽远程医疗和药物辅助治疗限制的承诺和实践的人类学观点

作为对 COVID-19 大流行的回应，美国缉毒局 (DEA) 暂时放宽了限制，以在社会疏远期间为阿片类药物依赖者提供服务 变化包括允许患者带回家更多剂量的美沙酮和丁丙诺啡，而不是来每天（对于美沙酮）或每周（对于丁丙诺啡）去诊所，并放宽对远程医疗交付的限制 远程医疗计划代表将联邦法规的放宽描述为 COVID-19 大流行的“一线希望”。风险的监控和理解，我们批判性地评估媒体对远程医疗、处方、和阿片类药物治疗提供 2017 年至今在亚利桑那州与提供者和利益相关者进行的民族志研究为我们对这些主题的媒体报道的分析增加了洞察力COVID-19 和阿片类药物依赖者过量服用会错过重要的风险和潜在的不平等 新指南提出的应用社会科学问题包括：谁接受了美沙酮和丁丙诺啡的带回家剂量以及原因；以及媒体如何表述风险和收益的理由塑造现实世界的政策和实践 版权所有 © 2020 应用人类学协会以及媒体对风险和收益原理的表述如何影响现实世界的政策和实践 版权所有 © 2020 应用人类学协会以及媒体对风险和收益原理的表述如何影响现实世界的政策和实践 版权所有 © 2020 应用人类学协会以及媒体对风险和收益原理的表述如何影响现实世界的政策和实践 版权所有 © 2020 应用人类学协会以及媒体对风险和收益原理的表述如何影响现实世界的政策和实践 版权所有 © 2020 应用人类学协会以及媒体对风险和收益原理的表述如何影响现实世界的政策和实践 版权所有 © 2020 应用人类学协会以及媒体对风险和收益原理的表述如何影响现实世界的政策和实践 版权所有 © 2020 应用人类学协会