Physician Perspectives on a Pilot Prescription Monitoring Program
Physician Perspectives on a Pilot Prescription Monitoring Program
复制标题
DOI：
10.1300/j354v19n03_03
复制
发表时间：
2005-01-01
影响因子：
1.1
通讯作者：
Watson, Ashby
中科院分区：
文献类型：
--
作者：
Barrett, Kirsten;Watson, Ashby
2003年，在弗吉尼亚州西南部实施电子处方监测试点计划期间，向672名医生邮寄了一份调查问卷，以了解他们对该计划的了解和态度，以及该计划对他们阿片类药物处方行为的影响。总共收回了275份调查，回复率为41%。不到一半的人以前听说过处方监测计划。近60%的人认为，由于该计划，他们的处方行为受到了更密切的监控；其中，23%的人报告说，这对他们帮助患者控制疼痛的能力产生了负面影响。68%的人报告说，处方监测计划有助于监测患者的处方病历，减少“医生购物”；然而，只有11%的人要求从处方监测计划数据库中获得信息，主要是由于访问障碍。建议包括教育医生提高对该计划的认识和利用，解决他们对审查实践和收集相关数据的担忧，以检查该计划对疼痛患者的分流、滥用和患者护理质量的影响。[文章副本可从Haworth Document Delivery Service收费获得：1-800-Haworth。电子邮件地址：The Haworth Press，Inc.网站：(C)2005。保留所有权利。]
In 2003, during implementation of a pilot electronic prescription monitoring program in southwest Virginia, a survey was mailed to 672 physicians to learn about their knowledge of and attitudes toward the program and its impact on their opioid prescribing behaviors. A total of 275 surveys were returned yielding a response rate of 41%. Less than one-half had previously heard about the prescription monitoring program. Nearly 60% believed their prescribing behaviors were being monitored more closely as a result of the program; of these, 23% reported that this had a negative impact on their ability to help patients manage their pain. Sixty-eight percent reported that the prescription monitoring program was useful for monitoring patients' prescription histories and decreasing "doctor shopping"; however, only 11% had requested information from the prescription monitoring program database, primarily due to access barriers.Recommendations include education to increase physician awareness of and utilization of the program and to address their concerns about scrutiny of practice and collection of relevant data that examines the impact of the program on diversion, abuse, and quality of patient care for persons in pain. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: Website: (C) 2005 by The Haworth Press, Inc. All rights reserved.]