How Do “Must-Access” Prescription Drug Monitoring Programs Address Opioid Misuse?

IF 3.1 2区 经济学 Q1 ECONOMICS
Benjamin Ukert, D. Polsky
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引用次数: 0

Abstract

The opioid epidemic led to the creation of state Prescription Drug Monitoring Programs (PDMPs) that eventually mandated access. We examine how these “must-access” PDMPs influenced prescribing after an emergency department (ED) visit and in the long term for the working-age population. By using data from a large multistate commercial insurance database from 2010 to 2014 and estimating difference-in-differences models, we show that only the broadest must-access PDMPs reduced opioid prescribing after an ED visit and in the long term. We then compared changes in prescribing rates for opioid naïve relative to non–opioid naïve individuals to disentangle the influence of information from administration costs on prescriber behavior. Findings suggest that hassle cost explains the majority of the decline in initial prescribing, and that the information value drives most of the reduction in long-term outcomes.
“必须访问”处方药监测计划如何解决阿片类药物滥用问题?
阿片类药物的流行导致了国家处方药监测计划(PDMPs)的创建,最终强制获取。我们研究了这些“必须访问”的PDMPs如何影响急诊科(ED)访问后的处方和长期的工作年龄人口。通过使用2010年至2014年大型多州商业保险数据库的数据并估计差异中的差异模型,我们表明只有最广泛的必须访问的PDMPs在ED就诊后和长期内减少了阿片类药物处方。然后,我们比较了阿片类药物naïve相对于非阿片类药物naïve个体的处方率变化,以理清管理成本信息对处方者行为的影响。研究结果表明,麻烦费用解释了最初处方减少的大部分原因,而信息价值导致了长期结果的大部分减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.30
自引率
2.70%
发文量
34
期刊介绍: The American Journal of Health Economics (AJHE) provides a forum for the in-depth analysis of health care markets and individual health behaviors. The articles appearing in AJHE are authored by scholars from universities, private research organizations, government, and industry. Subjects of interest include competition among private insurers, hospitals, and physicians; impacts of public insurance programs, including the Affordable Care Act; pharmaceutical innovation and regulation; medical device supply; the rise of obesity and its consequences; the influence and growth of aging populations; and much more.
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