How Do Prescription Drug Monitoring Programs Reduce Opioid Prescribing? The Role of Hassle Costs versus Information

2020 ◽  
Author(s):  
Abby Alpert ◽  
Sarah Dykstra ◽  
Mireille Jacobson
Keyword(s):  
Prescription Drug ◽  
Drug Monitoring ◽  
Opioid Prescribing ◽  
Monitoring Programs ◽  
Prescription Drug Monitoring Programs

scholarly journals The effectiveness of prescription drug monitoring programs at reducing opioid-related harms and consequences: a systematic review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Emily Rhodes ◽  
Maria Wilson ◽  
Alysia Robinson ◽  
Jill A. Hayden ◽  
Mark Asbridge
Keyword(s):  
Systematic Review ◽  
Adverse Events ◽  
Prescription Drug ◽  
Drug Monitoring ◽  
Implementation Outcomes ◽  
Monitoring Programs ◽  
Prescription Drug Monitoring Programs ◽  
Care Outcomes ◽  
Overdose Deaths

Abstract Background In order to address the opioid crisis in North America, many regions have adopted preventative strategies, such as prescription drug monitoring programs (PDMPs). PDMPs aim to increase patient safety by certifying that opioids are prescribed in appropriate quantities. We aimed to synthesize the literature on changes in opioid-related harms and consequences, an important measure of PDMP effectiveness. Methods We completed a systematic review. We conducted a narrative synthesis of opioid-related harms and consequences from PDMP implementation. Outcomes were grouped into categories by theme: opioid dependence, opioid-related care outcomes, opioid-related adverse events, and opioid-related legal and crime outcomes. Results We included a total of 22 studies (49 PDMPs) in our review. Two studies reported on illicit and problematic use but found no significant associations with PDMP status. Eight studies examined the association between PDMP status and opioid-related care outcomes, of which two found that treatment admissions for prescriptions opioids were lower in states with PDMP programs (p < 0.05). Of the thirteen studies that reported on opioid-related adverse events, two found significant (p < 0.001 and p < 0.05) but conflicting results with one finding a decrease in opioid-related overdose deaths after PDMP implementation and the other an increase. Lastly, two studies found no statistically significant association between PDMP status and opioid-related legal and crime outcomes (crime rates, identification of potential dealers, and diversion). Conclusion Our study found limited evidence to support overall associations between PDMPs and reductions in opioid-related consequences. However, this should not detract from the value of PDMPs’ larger role of improving opioid prescribing.

The Role of Continuing Medical Education in Increasing Enrollment in Prescription Drug Monitoring Programs

2017 ◽  
Vol 39 (9) ◽  
pp. 1896-1902.e2 ◽  
Author(s):  
John T. Finnell ◽  
Robert K. Twillman ◽  
Stephanie A. Breslan ◽  
Jan Schultz ◽  
Lyerka Miller
Keyword(s):  
Medical Education ◽  
Prescription Drug ◽  
Drug Monitoring ◽  
Continuing Medical Education ◽  
Monitoring Programs ◽  
Prescription Drug Monitoring Programs

scholarly journals Prescription Drug Monitoring Programs Are Associated With Sustained Reductions In Opioid Prescribing By Physicians

2016 ◽  
Vol 35 (6) ◽  
pp. 1045-1051 ◽  
Author(s):  
Yuhua Bao ◽  
Yijun Pan ◽  
Aryn Taylor ◽  
Sharmini Radakrishnan ◽  
Feijun Luo ◽  
...  
Keyword(s):  
Prescription Drug ◽  
Drug Monitoring ◽  
Opioid Prescribing ◽  
Monitoring Programs ◽  
Prescription Drug Monitoring Programs
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