The Opioid Crisis: The Effects and Unintended Consequences of State Policies on Opioid Analgesic Prescribing

项目摘要 美国正面临与阿片类药物相关的公共卫生危机，各州已通过一系列政策和 倡议，其中许多旨在减少阿片类镇痛剂的广泛供应。我们的 对这些政策的影响的了解仍在发展中，研究结果喜忧参半，没有 研究检查了政策在多大程度上减少了潜在的不适当处方 可能是适当的处方原封不动。评估国家政策和倡议对 总体阿片类药物处方率，可能适当的处方，以及潜在的不适当的处方，这 该项目将利用残疾人的联邦医疗保险索赔数据，得出解决这些差距的经验结论 受益人，以及IQVIA数据，估计覆盖了美国药店开出的88%的处方。 它还将检查政策如何影响历史上服务不足和高风险的阿片类药物处方 人口。这一结果将为与阿片类药物危机有关的国家政策制定工作提供信息。

Project Summary The U.S. is facing an opioid-related public health crisis, and states have responded with a range of policies and initiatives, many of which are intended to decrease the widespread availability of opioid analgesics. Our understanding of the impact of these policies is still evolving, results of studies have been mixed, and no studies have examined to what extent policies have decreased potentially inappropriate prescribing while leaving likely appropriate prescribing untouched. To assess the impact of state policies and initiatives on overall opioid prescribing rates, likely appropriate prescribing, and potentially inappropriate prescribing, this project will produce empirical findings addressing these gaps using Medicare claims data for disabled beneficiaries, as well as IQVIA data which covers an estimated 88% of prescriptions filled at U.S. pharmacies. It will also examine how policies affect opioid prescription fills for historically underserved and high-risk populations. The results will inform state policymaking efforts related to the opioid crisis.