Mandates Are Not Magic Bullets: Leveraging Context, Meaning and Relationships to Increase Meaningful Use of Prescription Monitoring Programs

2021 ◽  
Author(s):  
Julia E. Szymczak
Keyword(s):  
Meaningful Use ◽  
Prescription Monitoring ◽  
Monitoring Programs

Do Prescription Monitoring Programs Impact State Trends in Opioid Abuse/Misuse?

Pain Medicine ◽  
2012 ◽  
Vol 13 (3) ◽  
pp. 434-442 ◽  
Author(s):  
Liza M. Reifler ◽  
Danna Droz ◽  
J. Elise Bailey ◽  
Sidney H. Schnoll ◽  
Reginald Fant ◽  
...  
Keyword(s):  
Opioid Abuse ◽  
Prescription Monitoring ◽  
Monitoring Programs

scholarly journals A Systematic Review of Interventions and Programs Targeting Appropriate Prescribing of Opioids

2019 ◽  
Vol 3 (22;3) ◽  
pp. 229-240 ◽  
Author(s):  
Yola Moride
Keyword(s):  
Systematic Review ◽  
Pain Management ◽  
Evaluation Studies ◽  
The United States ◽  
Opioid Prescription ◽  
Overdose Death ◽  
Opioid Prescribing ◽  
Gray Literature ◽  
Prescription Monitoring ◽  
Monitoring Programs

Background: Canada and the United States have the highest levels of prescription opioid consumption in the world. In an attempt to curb the opioid epidemic, a variety of interventions have been implemented. Thus far, evidence regarding their effectiveness has not been consolidated. Objectives: The objectives of this study were to: 1) identify interventions that target opioid prescribing; 2) assess and compare the effectiveness of interventions on opioid prescription and related harms; 3) determine the methodological quality of evaluation studies. Study Design: The study involved a systematic review of the literature including bibliographical databases and gray literature sources. Setting: Systematic review including bibliographical databases and gray literature sources. Methods: We searched MEDLINE, Embase, and LILACS databases from January 1, 2005 to September 23, 2016 for any intervention that targeted the prescription of opioids. We also examined websites of relevant organizations and scanned bibliographies of included articles and reviews for additional references. The target population was that of all health care providers (HCPs) or users of opioids with no restriction on indication. Endpoints were those related to process (implementation), outcomes (effectiveness), or impact. Sources were screened independently by 2 reviewers using pre-defined eligibility criteria. Synthesis of findings was qualitative; no pooling of results was conducted. Results: Literature search yielded 12,278 unique sources. Of these, 142 were retained. During full-text review, 75 were further excluded. Searches of the gray literature and bibliographies yielded 49 additional sources. Thus, a total of 95 distinct interventions were identified. Over half consisted of prescription monitoring programs (PMPs) and mainly targeted HCPs. Evaluation studies addressed mainly opioid prescription rate (30.6%), opioid use (19.4%), or doctor shopping or diversion (9.7%). Fewer studies considered overdose death (9.7%), abuse (9.7%), misuse (4.2%), or diversion (5.6%). Study designs consisted of cross-sectional surveys (23.3%), pre-post intervention (26.7%), or time series without a comparison group (13.3%), which limit the robustness of the evidence. Although PMPs and policies have been associated with a reduction in opioid prescription, their impact on appropriateness of use according to clinical guidelines and restriction of access to patients in need is inconsistent. Continuing medical education (CME) and pain management programs were found effective in improving chronic pain management, but studies were conducted in specific settings. The impact of interventions on abuse and overdose-death is conflicting. Limitations: Due to the very large number of publications and programs found, it was difficult to compare interventions owing to the heterogeneity of the programs and to the methodologies of evaluation studies. No assessment of publication bias was done in the review. Conclusions: Evidence of effectiveness of interventions targeting the prescription of opioids is scarce in the literature. Although PMPs have been associated with a reduction in the overall prescription rates of Schedule II opioids, their impact on the appropriateness of use taking into consideration benefits, misuse, legal and illegal use remains elusive. Our review suggests that existing interventions have not addressed all determinants of inappropriate opioid prescribing and usage. A well-described theoretical framework would be the backdrop against which targeted interventions or policies may be developed. Key words: Opioid, prescription, abuse, misuse, diversion, interventions, prescription monitoring programs

Provider beliefs on the Barriers and Facilitators to Prescription Monitoring Programs and Mandated Use

2019 ◽  
Vol 55 (1) ◽  
pp. 1-11
Author(s):  
Jeff Reist ◽  
Joseph Frazier ◽  
Alecia Rottingham ◽  
Mackenzie Welsh ◽  
Brahmendra Reddy Viyyuri ◽  
...  
Keyword(s):  
Barriers And Facilitators ◽  
Prescription Monitoring ◽  
Monitoring Programs ◽  
Provider Beliefs

Discrepancies in addressing overdose prevention through prescription monitoring programs

2015 ◽  
Vol 153 ◽  
pp. 355-358 ◽  
Author(s):  
Traci C. Green ◽  
Sarah Bowman ◽  
Corey Davis ◽  
Cristina Los ◽  
Kimberly McHugh ◽  
...  
Keyword(s):  
Overdose Prevention ◽  
Prescription Monitoring ◽  
Monitoring Programs
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