Prescription Practices involving Opioid Analgesics among Americans with Medicaid, 2010
Prescription Practices involving Opioid Analgesics among Americans with Medicaid, 2010
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DOI：
10.1353/hpu.2015.0009
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发表时间：
2015-02-01
影响因子：
1.4
通讯作者：
Jones, Christopher
中科院分区：
文献类型：
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作者：
Mack, Karin A.;Zhang, Kun;Jones, Christopher
最近基于州的研究表明，医疗补助人群中阿片类药物过量死亡的风险增加。为了探索风险的一个方面，本研究检查了医疗补助注册者中潜在阿片类药物不适当使用或处方的指标。我们检查了2010年Truven Health MarketScan（R）多州医疗补助数据库中18-64岁注册者的索赔，该数据库由来自12个州的加权和全国代表性数据组成。药物声明用于识别使用阿片类药物处方的入组者（n= 359，368）。潜在不适当使用或处方的指标包括阿片类药物处方重叠、阿片类药物和苯二氮卓类药物处方重叠、用于急性疼痛的长效/缓释阿片类药物和高日剂量。2010年，有阿片类药物处方的医疗补助登记者平均获得6.3张阿片类药物处方，40%的人至少有一个潜在的不适当使用或处方指标。这些指标与类阿片相关的不良健康后果有关，并且有办法发现和阻止类阿片的不当使用和处方。
Recent state-based studies have shown an increased risk of opioid overdose death in Medicaid populations. To explore one side of risk, this study examines indicators of potential opioid inappropriate use or prescribing among Medicaid enrollees. We examined claims from enrollees aged 18-64 years in the 2010 Truven Health MarketScan (R) Multi-State Medicaid database, which consisted of weighted and nationally representative data from 12 states. Pharmaceutical claims were used to identify enrollees (n=359,368) with opioid prescriptions. Indicators of potential inappropriate use or prescribing included overlapping opioid prescriptions, overlapping opioid and benzodiazepine prescriptions, long acting/extended release opioids for acute pain, and high daily doses. In 2010, Medicaid enrollees with opioid prescriptions obtained an average 6.3 opioid prescriptions, and 40% had at least one indicator of potential inappropriate use or prescribing. These indicators have been linked to opioid-related adverse health outcomes, and methods exist to detect and deter inappropriate use and prescribing of opioids.