Essays in the economics of risky health behaviors
Essays in the economics of risky health behaviors
复制标题
危险健康行为的经济学论文
DOI：
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
S. Radakrishnan
中科院分区：
文献类型：
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作者：
S. Radakrishnan
在过去的十年中，涉及阿片类止痛药的过量死亡，药物滥用治疗入院和急诊室就诊急剧增加。作为回应，许多州已经实施了处方药监测计划（PDMP），电子数据库，跟踪处方和分发受控物质。这些计划的主要目的是告知治疗决定，并识别和防止“医生购物”和非法处方或配药。本文调查了国家处方药监测计划对阿片类止痛药滥用的影响，通过非医疗使用处方止痛药，阿片类药物滥用和阿片类药物过量死亡的药物滥用治疗入院来衡量。我估计差异中的差异模型，其中我使用的变化，在各州的PSTAP实施的时间作为外源性变化的来源，暴露于该计划，以确定PDMP的影响。我通过控制实施前的趋势以及其他七种可能影响处方药滥用和转移的州法律来解决可能的政策内隐问题。首选的估计表明，PDMP使阿片类药物滥用治疗的入院率降低了13.1%。然而，我不能拒绝零假设，即PDMP对自我报告的非医疗使用和过量死亡没有影响。
Overdose deaths, substance abuse treatment admissions, and emergency department visits involving opioid pain relievers have increased sharply in the last decade. In response, many states have implemented prescription drug monitoring programs (PDMPs), electronic databases that track the prescribing and dispensing of controlled substances. The main intent of these programs is to inform treatment decisions and identify and prevent “doctor shopping” and illicit prescribing or dispensing. This paper investigates the impact of state prescription drug monitoring programs on the abuse of opioid pain relievers, measured by non-medical use of prescription pain relievers, substance abuse treatment admissions for opioid abuse and opioid overdose deaths. I estimate difference-in-differences models in which I use variation in the timing of PDMP implementation across states as a source of exogenous variation in exposure to the program to identify impacts of PDMPs. I address possible policy endogeneity by controlling for pre-implementation trends as well as seven other types of state laws that are likely to affect prescription drug abuse and diversion. The preferred estimates suggest that PDMPs reduced opioid abuse treatment admissions by 13.1%. However I cannot reject the null hypothesis that PDMPs had no effect on selfreported nonmedical use and overdose deaths.
影响因子：
4.6
作者：
MCLOYD, VC;JAYARATNE, TE;BORQUEZ, J
通讯作者：
BORQUEZ, J
DOI：
10.1257/aer.99.1.324
发表时间：
2009-03-01
期刊：
The American economic review
影响因子：
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作者：
Dobkin C;Nicosia N
通讯作者：
Nicosia N