Prescription drug monitoring programs, a response to doctor shopping: purpose, effectiveness, and directions for future research.
Prescription drug monitoring programs, a response to doctor shopping: purpose, effectiveness, and directions for future research.
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DOI：
10.3109/01612840.2011.654046
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发表时间：
2012-05-01
影响因子：
2.1
通讯作者：
Worley, Julie
中科院分区：
文献类型：
--
作者：
Worley, Julie
处方药滥用是一个世界性的重大问题，其发生率呈上升趋势，造成了巨大的社会成本。处方药监控程序（PDMPs）是收集受控物质数据的电子数据库，以便医疗保健提供者可以访问这些数据，防止滥用、医生购物和转移。目前，只有包括美国和法国在内的少数几个国家拥有可操作的pdmp。本文的目的是回顾有关处方药监测程序的文献。这方面的研究文章很少；在过去十年中，仅发表了11篇有关该主题的文章。研究确定了四个主题：(1)PDMPs对处方行为的影响和对公众的影响，(2)PDMPs对处方行为和多提供者事件的影响，(3)PDMPs对处方行为和患者特征的影响，以及(4)卫生保健专业人员对PDMPs的看法。研究表明，PDMPs减少了人们的注意力转移和去看医生。尽管实施了药品管理方案，但管制药物的处方药率和滥用率有所上升。迫切需要对这一问题进行了解和研究，以便采取行动。
Prescription drug abuse is a major worldwide problem and its incidence is on the rise, resulting in a huge societal cost. Prescription drug monitoring programs (PDMPs) are electronic databases that collect data on controlled substances so that health care providers can access the data and deter abuse, doctor shopping, and diversion. Currently only a few countries, including the United States and France, have operational PDMPs. The purpose of this paper is to review the literature on prescription drug monitoring programs. There is a paucity of research articles in this area; only 11 articles were published on this topic and relevant in the last ten years. Four themes were identified, (1) the effect of PDMPs on prescribing practices and the effect of PDMPs on the public, (2) the effect of PDMPs on prescribing practices and multiple provider episodes, (3) the effect of PDMPs on prescribing practices and characteristics of patients, and (4) health care professionals' perspectives on PDMPs. Studies have shown that PDMPs decrease diversion and doctor shopping. Despite implementation of PDMPs, prescription drug rates for controlled substances and abuse rates have risen. There is an urgent need for understanding and research on this topic so that action can be taken.