Optimization of Prescription Drug Monitoring Program to Overcome Opioid Epidemic in West Virginia.
Optimization of Prescription Drug Monitoring Program to Overcome Opioid Epidemic in West Virginia.
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DOI：
10.7759/cureus.22434
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Lakhani HV
中科院分区：
文献类型：
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作者：
Al-Astal AY;Sodhi K;Lakhani HV
处方药监测计划（PDMP）的发展导致了医疗保健组织系统（HCOs）的创新。PDMP系统已在不同的州和不同的组织级别上得到利用，以努力实现更好的健康结果，减少处方药物过量的数量，并减轻随之而来的经济负担。然而，在PDMP的实施过程中，发现了一些障碍和限制。这些障碍阻碍了PDMP的使用过程，例如复杂的用户界面和缺乏对医疗保健提供者的培训。本文的目的是研究美国医疗保健行业中PDMP的使用和实施的进展和局限性，并制定在西弗吉尼亚州有效使用PDMP的策略。本文的定性部分是文献综述。这篇论文引用了一些同行评议的研究和来自几个可靠资源的研究文章，这些文章是通过数据库或谷歌Scholar获得的。本研究共查阅了44篇文献。PDMP的实施受到利益和障碍的影响。本文回顾了几项研究，这些研究总体上证明了PDMP的实施带来的积极结果，包括减少处方药过量使用的数量、对患者的协调护理和改善健康结果。然而，PDMP的障碍和限制也不容忽视，主要包括PDMP与电子健康记录（EHR）系统的整合，缺乏对提供者的培训，以及缺乏基本的PDMP使用标准。尽管新的卫生改革鼓励提供者采用PDMP，但数据报告和数据解释仍然是评估实施PDMP的健康结果的主要问题。
The development of the Prescription Drug Monitoring Program (PDMP) led to an innovation in the healthcare organization system (HCOs). The PDMP system has been utilized in different states at various organizational levels in an effort to achieve improved health outcomes, reduce the number of prescription drug overdoses, and lighten the economic burden that follows. However, during the implementation of PDMP, there were several barriers and limitations that were discovered. Those barriers impeded the process of utilization of PDMP, such as the complex user interface and lack of training for healthcare providers. The purpose of this paper was to examine the advances and limitations in the utilization and implementation of PDMP in the US healthcare industry and develop strategies for effective use of PDMP in West Virginia. The qualitative part of this paper was a literature review. The paper referred to several peer-reviewed studies and research articles from several reliable resources, which were reached by databases or Google Scholar. A total of 44 articles were reviewed for this study. The implementation of the PDMP was influenced by benefits and barriers. This article reviewed several studies in general that demonstrated positive outcomes from the implementation of PDMP, including a reduced number of prescription drug overdoses, coordinated care for patients, and improved health outcomes. However, the barriers and limitations were not neglected, which mainly include integration of PDMP into the electronic health record (EHR) system, lack of training for the providers, and lack of basic standards for the use of PDMP. Although the new health reforms encouraged the adaption of PDMP among providers, data reporting and data interpretation still remain major concerns for assessing the health outcomes of PDMP implementation.