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

阿片类药物危机：国家政策对阿片类药物镇痛处方的影响和意外后果

• 批准号: 9894774
• 负责人: BRADLEY D STEIN
• 金额: $ 68.29万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-03-15 至 2022-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9894774
• 关键词: Address; Admission activity; Affect; Behavior; Characteristics; Clinical; Communities; County; Coupled; Data; Data Set; Data Sources; Diagnosis; Disabled Persons; Disadvantaged; Drug Insurance; Drug Utilization; Health; Individual; Literature; Medical; Medicare; Medicare claim; Mental Health; Monitor; Oncology; Operative Surgical Procedures; Opioid; Opioid Analgesics; Outcome; Overdose; Pain Clinics; Pain management; Patients; Pattern; Pharmaceutical Preparations; Pharmacy facility; Policies; Population; Public Health; Recording of previous events; Regulation; Risk; Rural; Rural Community; Societies; Substance Use Disorder; Therapeutic; Touch sensation; Variant; beneficiary; design; ethnic minority population; experience; federal policy; high risk population; opioid abuse; opioid epidemic; opioid misuse; opioid mortality; opioid overdose; opioid use; patient population; practice setting; prescription drug abuse; prescription monitoring program; prescription opioid; prior authorization; programs; racial and ethnic; response; rural area; socioeconomic disadvantage; surgical pain

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.

项目总结