Abstract：
OBJECTIVE:To estimate the impact of implementing prescription drug monitoring program (PDMP) best practices on prescription opioid use. DATA SOURCES:2007-2012 Medicare claims for noncancer pain patients, and PDMP attributes from the Prescription Drug Abuse Policy System. STUDY DESIGN:We derived PDMP composite scores using the number of best practices adopted by states (range: 0-14), classifying states as either no PDMP, low strength (0 < score < median), or high strength (score ≥ median). Using generalized linear models, we quantified the association between the PDMP score category and opioid use measures-overall and stratified by disability/age. Sensitivity analyses assessed the general Medicare sample regardless of pain diagnoses, individual PDMP characteristics, and compared GEE model findings to models with state fixed effects. PRINCIPAL FINDINGS:Compared to non-PDMP states, strong PDMP states had lower opioid cumulative doses (-296 mg; 95% CI: -512, -132), days supplied (-7.84; 95% CI: -10.6, -5.04), prescription fill rates (0.97; 95% CI: 0.95, 0.98), and mean daily doses (-2.31 mg; 95% CI: -3.14, -1.48) but greater prevalence of high opioid doses in disabled adults, whereas there was little or no change in older adults. Findings in states with weak PDMPs were substantively similar to those of strong PDMPs. Results from sensitivity analyses were mostly consistent with main findings except there was a null relationship with mean daily doses and high doses in models with state fixed effects. CONCLUSIONS:Comprehensive or minimal adoption of PDMP best practices was associated with mostly comparable effects on Medicare beneficiaries' opioid use; however, these effects were concentrated among nonelderly disabled adults.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Moyo P,Simoni-Wastila L,Griffin BA,Harrington D,Alexander GC,Palumbo F,Onukwugha Edoi
10.1111/1475-6773.13197subject
Has Abstractpub_date
2019-10-01 00:00:00pages
1045-1054issue
5eissn
0017-9124issn
1475-6773journal_volume
54pub_type
杂志文章abstract：OBJECTIVE:Examination of the extent to which federal surveys provide the data needed to estimate the coverage/cost impacts of policy alternatives to address the problem of uninsurance. DATA SOURCES/STUDY SETTING:Assessment of the major federal household surveys that regularly provide information on health insurance an...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2006.00544.x
更新日期：2006-06-01 00:00:00
abstract：OBJECTIVE:The Standard Gamble (SG) technique is recommended for measurement of individuals' preferences under uncertainty and to express the outcome of different therapeutic choices in utility values to be used in clinical decision analysis and health program evaluation. The article alerts users of this technique to pr...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1994-06-01 00:00:00
abstract：OBJECTIVES:The Patient Activation Measure (PAM) quantifies the extent to which people are informed about and involved in their health care. Objectives were to determine the psychometric properties of PAM among multimorbid older adults and evaluate a theoretical, four-stage model of patient activation. Methods. A cross-...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2010.01210.x
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVE:To compare the costs of physician-owned cardiac, orthopedic, and surgical single specialty hospitals with those of full-service hospital competitors. DATA SOURCES:The primary data sources are the Medicare Cost Reports for 1998-2004 and hospital inpatient discharge data for three of the states where single sp...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2008.00881.x
更新日期：2008-10-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
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更新日期：1976-10-01 00:00:00
abstract：OBJECTIVE:To test the effectiveness of financial incentives for smoking cessation in the Medicaid population. DATA SOURCES:Secondary data from the Medicaid Incentives for Prevention of Chronic Disease (MIPCD) program and Medicaid claims/encounter data from 2010 to 2015 for five states. STUDY DESIGN:Beneficiaries were...
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doi：10.1111/1475-6773.12994
更新日期：2018-12-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/1475-6773.13110
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abstract：OBJECTIVES:(1) To present the Behavioral Model for Vulnerable Populations, a major revision of a leading model of access to care that is particularly applicable to vulnerable populations; and (2) to test the model in a prospective study designed to define and determine predictors of the course of health services utiliz...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：2000-02-01 00:00:00
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doi：10.1111/j.1475-6773.2010.01126.x
更新日期：2010-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：1998-10-01 00:00:00
abstract：OBJECTIVE:To estimate the effect of a nursing home's share of residents with a serious mental illness (SMI) on the quality of care. DATA SOURCES:Secondary nursing home level data over the period 2000 through 2008 obtained from the Minimum Data Set, OSCAR, and Medicare claims. STUDY DESIGN:We employ an instrumental va...
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pub_type： 杂志文章
doi：10.1111/1475-6773.12023
更新日期：2013-08-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章,随机对照试验
doi：10.1111/1475-6773.12538
更新日期：2017-08-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1986-06-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
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doi：10.1111/1475-6773.13551
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doi：10.1111/1475-6773.13105
更新日期：2019-02-01 00:00:00
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更新日期：2011-04-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
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doi：10.1111/1475-6773.13081
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pub_type： 杂志文章
doi：10.1111/j.1475-6773.2010.01122.x
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