Georgia state lawmakers enacted legislation designed to reduce opioid overdose deaths by increasing public access to rescue products, such as Narcan®. This article explores whether pharmacy employees have effectively adopted such changes into pharmacy practice. We analyzed unsolicited remarks noted during a parent telephone survey of 120 Georgia pharmacy staff regarding price, availability and barriers to layperson purchase of Narcan®. Comments regarding dispensing requirements and challenges in obtaining inventory and changes in communication style were recorded. Around 15% were unfamiliar with Narcan® as an opioid overdose reversal agent or were unaware of their pharmacy’s policies governing its sale. Nearly half of those contacted did not have Narcan® in stock with some reporting that receiving Narcan® would take several days after placing an order. Over half specified requirements for purchasing Narcan® not required by law. Fewer than 15% had Narcan® available and imposed no unnecessary requirements for its purchase. During approximately 10% of the survey calls, respondents used a tone of voice or made comments suggestive of bias. We conclude that non-compliance with current laws, lack of familiarity with Narcan® and negative communication tendencies that suggest implicit bias and stigmatizing behaviors could ultimately inhibit access to opioid overdose treatment.

中文翻译：

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对佐治亚州药房工作人员关于获取 Narcan® 的调查答复的定性检查

乔治亚州立法者颁布了旨在通过增加公众获得救援产品（如 Narcan®）来减少阿片类药物过量死亡的立法。本文探讨了药房员工是否有效地将这些变化融入了药房实践。我们分析了在对 120 名佐治亚州药房员工进行的家长电话调查中发现的关于价格、可用性和非专业人士购买 Narcan® 的障碍的不请自来的评论。记录了有关分配要求和获取库存方面的挑战以及沟通方式变化的评论。大约 15% 的人不熟悉 Narcan® 作为阿片类药物过量逆转剂，或者不知道他们药房的销售政策。接近一半的受访者没有 Narcan® 库存，一些报告称在下订单后需要几天才能收到 Narcan®。超过一半的购买 Narcan® 的特定要求不是法律要求的。不到 15% 的人拥有 Narcan®，并且没有对其购买提出不必要的要求。在大约 10% 的调查电话中，受访者使用了一种语气或发表了暗示偏见的评论。我们得出的结论是，不遵守现行法律、对 Narcan® 缺乏熟悉以及暗示隐性偏见和污名化行为的负面沟通倾向最终可能会阻碍阿片类药物过量治疗的获得。在大约 10% 的调查电话中，受访者使用了一种语气或发表了暗示偏见的评论。我们得出的结论是，不遵守现行法律、对 Narcan® 缺乏熟悉以及暗示隐性偏见和污名化行为的负面沟通倾向最终可能会阻碍阿片类药物过量治疗的获得。在大约 10% 的调查电话中，受访者使用了一种语气或发表了暗示偏见的评论。我们得出的结论是，不遵守现行法律、对 Narcan® 缺乏熟悉以及暗示隐性偏见和污名化行为的负面沟通倾向最终可能会阻碍阿片类药物过量治疗的获得。