处方药监测项目对县级阿片类药物处方实践和溢出效应的影响

IF 1.7 4区经济学 Q2 ECONOMICS

Contemporary Economic Policy Pub Date : 2023-03-15 DOI:10.1111/coep.12607

Shishir Shakya, Jane E. Ruseski

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引用次数: 1

摘要

大多数州现在在法律上要求供应商在开出阿片类药物等受控物质之前访问处方药监测计划(PDMP)数据库。我们利用2010年至2017年间这些“必须获得”授权的采用变化来评估其对处方行为的影响。我们发现，与“自愿获取”PDMP州的县相比，“必须获取”PDMP州的县每100人的零售阿片类药物处方减少5.5。我们发现阿片类药物处方行为存在地理溢出的证据。我们的研究结果强调了在设计对抗阿片类药物滥用的干预措施时认识到跨境购物潜力的重要性。

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The effect of Prescription Drug Monitoring Programs on county-level opioid prescribing practices and spillovers

Most states now legally mandate providers to access the Prescription Drug Monitoring Program (PDMP) database before prescribing controlled substances like opioids. We exploit variation in the adoption of these “must access” mandates between 2010 and 2017 to evaluate their impact on prescribing behavior. We find that counties in “must access” PDMP states have 5.5 fewer retail opioid prescriptions per 100 persons compared to counties in “voluntary access” PDMP states. We find evidence of geographic spillovers in opioid prescribing behavior. Our results underscore the importance recognizing the potential for cross-border shopping when designing interventions to combat opioid misuse.

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来源期刊

Contemporary Economic Policy Multiple-

CiteScore

3.10

自引率

6.70%

发文量

期刊介绍： Contemporary Economic Policy publishes scholarly economic research and analysis on issues of vital concern to business, government, and other decision makers. Leading western scholars, including three Nobel laureates, are among CEP"s authors. The objectives are to communicate results of high quality economic analysis to policymakers, focus high quality research and analysis on current policy issues of widespread concern, increase knowledge among economists of features of the economy key to understanding the impact of policy, and to advance methods of policy analysis.