Prescription drug monitoring program policy reform: human and veterinary practitioner prescribing in West Virginia, 2008-2020.
Prescription drug monitoring program policy reform: human and veterinary practitioner prescribing in West Virginia, 2008-2020.
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DOI：
10.1057/s41271-021-00275-0
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发表时间：
2021-06
影响因子：
3.8
通讯作者：
Smith GS
中科院分区：
文献类型：
--
作者：
Hendricks B;Rudisill T;Pesarsick J;Wen S;Dotson T;Wood N;Smith GS
没有研究检查过西弗吉尼亚州或兽医等专业实践中的处方药监测计划 (PDMP) 数据。本研究的目的是进行时间序列建模，以描述 PDMP 政策改革对人类和兽医提供者处方率的影响。我们从西弗吉尼亚州 PDMP 获取了 2008 年至 2020 年阿片类药物处方数量和提供者数量的数据。我们根据兽医处方的前五种阿片类药物分别估计了人类和兽医提供者的处方率。我们分别使用贝叶斯对数正态时间序列模型估计人类和兽医的时间效应。在整个研究期间，兽医的处方率显着增加，而人类提供者的处方率则下降，特别是在《阿片类药物减少法案》实施后的 2018 年期间。研究结果为政策对专业实践的不同影响提供了新颖的见解，并强调了其他地方观察到的人类阿片类药物处方的减少。
No study has examined Prescription Drug Monitoring Program (PDMP) data for West Virginia or among specialty practices, such as veterinary medicine. The objectives of this study were to conduct time series modeling to describe the PDMP policy reform impact on prescribing rates for human and veterinary providers. We obtained data from the WV PDMP for 2008 through 2020 for the number of opioid prescriptions filled and providers. We estimated prescribing rates for human and veterinary providers separately based upon the top five opioids prescribed by veterinarians. We estimated temporal effects using a Bayesian log-normal time series model for humans and veterinarians separately. Throughout the study period prescribing rates increased significantly for veterinarians, and decreased for human providers, particularly during 2018 after implementation of the Opioid Reduction Act. Findings provide novel insight into the differential impact of policy on specialty practices and highlight decreasing human opioid prescribing observed elsewhere.
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