Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates
Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates
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DOI：
10.1377/hlthaff.2016.0448
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发表时间：
2016-10-01
期刊：
影响因子：
9.7
通讯作者：
Hockenberry, Jason M.
中科院分区：
文献类型：
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作者：
Dowell, Deborah;Zhang, Kun;Hockenberry, Jason M.
为应对美国阿片类药物过量使用的流行情况，各州已实施相关政策以减少不恰当的阿片类药物处方。这些政策可能会通过促使用海洛因替代阿片类药物，或者减少同时使用这两种物质，从而影响同时发生的海洛因过量使用流行情况。我们利用艾美仕市场研究公司的全国处方审核以及政府的死亡率数据，研究了2006年至2013年期间这些政策对美国阿片类药物处方以及处方阿片类药物和海洛因过量死亡率的影响。分析显示，强制医疗服务提供者审查州立处方药监测项目数据以及疼痛诊所相关法律的联合实施，使得阿片类药物处方量减少了8%，处方阿片类药物过量死亡率降低了12%。我们还观察到在这些政策实施后，海洛因过量死亡率有相对较大但在统计上不显著的下降。这些政策组合是有效的，但需要更广泛的方法来应对这些同时发生的流行情况。
To address the opioid overdose epidemic in the United States, states have implemented policies to reduce inappropriate opioid prescribing. These policies could affect the coincident heroin overdose epidemic by either driving the substitution of heroin for opioids or reducing simultaneous use of both substances. We used IMS Health's National Prescription Audit and government mortality data to examine the effect of these policies on opioid prescribing and on prescription opioid and heroin overdose death rates in the United States during 2006-13. The analysis revealed that combined implementation of mandated provider review of state-run prescription drug monitoring program data and pain clinic laws reduced opioid amounts prescribed by 8 percent and prescription opioid overdose death rates by 12 percent. We also observed relatively large but statistically insignificant reductions in heroin overdose death rates after implementation of these policies. This combination of policies was effective, but broader approaches to address these coincident epidemics are needed.