The impact of medical and recreational marijuana laws on opioid prescribing in employer-sponsored health insurance.

The impact of medical and recreational marijuana laws on opioid prescribing in employer-sponsored health insurance.
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DOI:
10.1002/hec.4237
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发表时间:
2021-05
期刊:
影响因子:
2.1
通讯作者:
Talbert JC
Talbert JC
中科院分区:
医学3区
文献类型:
--
作者:
Wen J;Wen H;Butler JS;Talbert JC

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使用2009年至2015年Truven Health MarketScan商业索赔和遭遇数据库的数据,我们研究了医疗和娱乐大麻法律对雇主赞助的医疗保险中阿片类药物处方的影响。我们使用了差异中的差异(DD)方法,发现医用大麻法(MML)和娱乐大麻法(RML)的实施分别使每个注册者的吗啡毫克当量减少了7%和13%。与MML相关的减少主要发生在55-64岁的人群中,而与RML相关的减少主要发生在35-44岁和45-54岁的人群中。我们的研究结果表明,MML和RML都有可能减少私人保险人群中的阿片类药物处方,特别是中年人群。
Using data from Truven Health MarketScan Commercial Claims and Encounters Database between 2009 and 2015, we studied the effects of medical and recreational marijuana laws on opioid prescribing in employer-sponsored health insurance. We used a differences-in-differences (DD) approach and found that the implementation of medical marijuana laws (MMLs) and recreational marijuana laws (RMLs) reduced morphine milligram equivalents per enrollee by 7% and 13%, respectively. The reduction associated with MMLs was predominately in people aged 55–64, whereas the reduction associated with RMLs was largely in people aged 35–44 and aged 45–54. Our findings suggest that both MMLs and RMLs have the potential to reduce opioid prescribing in the privately insured population, especially for the middle-aged population.
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