The Concentration of Opioid Prescriptions by Providers and Among Patients in the Oregon Medicaid Program.

作者: Hyunjee Kim , Daniel M. Hartung , Reside L. Jacob , Dennis McCarty , K. John McConnell

DOI: 10.1176/APPI.PS.201500116

关键词:

摘要: Objective:This study examined the distribution of opioid prescribing across providers and patients extent to which concentrated predicts misuse.Methods:Using 2013 Oregon Medicaid claims National Provider Identifier Registry, this identified who filled at least one prescription prescribed opioids for those (N=61,477 beneficiaries). This prescriptions by provider patient, high-volume use was associated with potential misuse, how association changed when received from in top decile morphine-equivalent doses (MEQ) 2013. used four indicators misuse: doctor pharmacy shopping prescriptions, overlap, benzodiazepine overlap.Results:Opioid were heavily among 10% o...

参考文章(28)
Leonard J. Paulozzi, Joseph E. Logan, Yunbo Liu, Christopher M. Jones, Kun Zhang, Potential misuse and inappropriate prescription practices involving opioid analgesics. The American Journal of Managed Care. ,vol. 19, pp. 648- 658 ,(2013)
Howard Birnbaum, George A. Kenna, Bertha K. Madras, Nathaniel P. Katz, Alan G. White, Roger D. Weiss, Michael J. Brennan, Lisa McElhaney, Gary P. Gilmore, Dennis Jay, John D. Freedman, Prescription opioid abuse: challenges and opportunities for payers. The American Journal of Managed Care. ,vol. 19, pp. 295- 302 ,(2013)
Karen H. Seal, Ying Shi, Gregory Cohen, Beth E. Cohen, Shira Maguen, Erin E. Krebs, Thomas C. Neylan, Association of Mental Health Disorders With Prescription Opioids and High-Risk Opioid Use in US Veterans of Iraq and Afghanistan JAMA. ,vol. 307, pp. 940- 947 ,(2012) , 10.1001/JAMA.2012.234
Jeffrey F. Scherrer, Dragan M. Svrakic, Kenneth E. Freedland, Timothy Chrusciel, Sumitra Balasubramanian, Kathleen K. Bucholz, Elizabeth V. Lawler, Patrick J. Lustman, Prescription Opioid Analgesics Increase the Risk of Depression Journal of General Internal Medicine. ,vol. 29, pp. 491- 499 ,(2014) , 10.1007/S11606-013-2648-1
Mark D. Sullivan, Mark J. Edlund, Diane Steffick, Jürgen Unützer, Regular use of prescribed opioids: Association with common psychiatric disorders Pain. ,vol. 119, pp. 95- 103 ,(2005) , 10.1016/J.PAIN.2005.09.020
Joseph Logan, Ying Liu, Leonard Paulozzi, Kun Zhang, Christopher Jones, Opioid prescribing in emergency departments: the prevalence of potentially inappropriate prescribing and misuse. Medical Care. ,vol. 51, pp. 646- 653 ,(2013) , 10.1097/MLR.0B013E318293C2C0
Jane A. Gwira Baumblatt, Caleb Wiedeman, John R. Dunn, William Schaffner, Leonard J. Paulozzi, Timothy F. Jones, High-Risk Use by Patients Prescribed Opioids for Pain and Its Role in Overdose Deaths JAMA Internal Medicine. ,vol. 174, pp. 796- 801 ,(2014) , 10.1001/JAMAINTERNMED.2013.12711
L. J. Paulozzi, K. Zhang, C. M. Jones, K. A. Mack, Risk of adverse health outcomes with increasing duration and regularity of opioid therapy. Journal of the American Board of Family Medicine. ,vol. 27, pp. 329- 338 ,(2014) , 10.3122/JABFM.2014.03.130290
Dennis McCarty, Rob Bovett, Thomas Burns, Judy Cushing, Mary Ellen Glynn, Senator Jeff Kruse, Lisa M. Millet, Jim Shames, Oregon's strategy to confront prescription opioid misuse: a case study. Journal of Substance Abuse Treatment. ,vol. 48, pp. 91- 95 ,(2015) , 10.1016/J.JSAT.2014.07.012
Lainie Rutkow, Lydia Turner, Eleanor Lucas, Catherine Hwang, G. Caleb Alexander, Most Primary Care Physicians Are Aware Of Prescription Drug Monitoring Programs, But Many Find The Data Difficult To Access Health Affairs. ,vol. 34, pp. 484- 492 ,(2015) , 10.1377/HLTHAFF.2014.1085