Provider Reactions to Opioid-Prescribing Report Cards

被引:0
|
作者
Alishahi, Musheng L. [1 ]
Olson, Katie [3 ]
Brooks-Russell, Ashley [2 ]
Hoppe, Jason [4 ]
Runyan, Carol [1 ,2 ]
机构
[1] Colorado Sch Publ Hlth, Dept Epidemiol, 13001 E 17th Pl,Bldg 500,Room W3148, Aurora, CO 80045 USA
[2] Colorado Sch Publ Hlth, Dept Community & Behav Hlth, Aurora, CO 80045 USA
[3] Colorado Dept Publ Hlth & Environm, Denver, CO USA
[4] Univ Colorado Anschutz, Dept Emergency Med, Aurora, CO USA
来源
关键词
opioid prescribing; opioids; prescribing behaviors; report card; PLANNED BEHAVIOR; UNITED-STATES; GUIDELINE; INTENTIONS; DRUG; PAIN;
D O I
10.1097/PHH.0000000000001382
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To evaluate prescribers' reactions and self-reported intentions to change prescribing behavior in response to opioid-prescribing report cards. Design: We surveyed a sample of licensed prescribers in the state of Colorado registered with the state's prescription drug monitoring program (PDMP). Setting: In 2018, Colorado disseminated tailored opioid-prescribing report cards to increase use of the PDMP and improve opioid prescribing. Report cards reflected individual prescribing history and compared individuals with an aggregate of others in the same specialty. Surveys were sent to approximately 29 000 prescribers registered with the PDMP 12 weeks after report card distribution. If respondents were not sent a report card, they were shown a sample report. Respondents were asked about their perceptions of the usefulness of the information and intentions to change their prescribing. Participants: A total of 3784 prescribers responded to the survey. Main Outcome Measures: Respondents were asked about their attitudes and reactions to an opioid-prescribing report card. Answers were given in the form of a 5-point Likert scale or multiple-choice questions. Results: Of those who responded, 53.6% were male and nearly half (49.5%) had spent more than 20 years in practice. Among prescribers who recalled receiving a report card, most felt the reports were easy to understand (87.4%) and provided new information (82.8%). Two-thirds of prescribers who saw their reports felt the information accurately reflected their prescribing practices. Overall, 40.0% reported they planned to change their prescribing behaviors as a result of the information provided. The most useful metrics identified by prescribers were the number of patients with multiple providers and the number of patients receiving dangerous combination therapy. Conclusions: Overall, perceptions of the usefulness and accuracy of the report cards were positive. Understanding how the reports are perceived is a key factor to their use and influence. Further tailoring of the report to prescribers of different specialties and experience may enhance the effectiveness of the report cards.
引用
收藏
页码:E518 / E524
页数:7
相关论文
共 50 条
  • [1] Opioid-Prescribing Continuity and Risky Opioid Prescriptions
    Hallvik, Sara E.
    Geissert, Peter
    Wakeland, Wayne
    Hildebran, Christi
    Carson, Jody
    O'Kane, Nicole
    Deyo, Richard A.
    [J]. ANNALS OF FAMILY MEDICINE, 2018, 16 (05) : 440 - 442
  • [2] The impact of opioid prescribing report cards in Medicaid
    Candon, Molly
    Xue, Lingshu
    Shen, Siyuan
    Cole, Evan S.
    Donohue, Julie
    Rothbard, Aileen
    [J]. JOURNAL OF MANAGED CARE & SPECIALTY PHARMACY, 2022, 28 (08): : 862 - 870
  • [3] Opioid-Prescribing Practices and Provider Confidence Recognizing Opioid Analgesic Abuse in HIV Primary Care Settings
    Lum, Paula J.
    Little, Sherri
    Botsko, Michael
    Hersh, David
    Thawley, Robert E.
    Egan, James E.
    Mitty, Jennifer
    Boverman, Joshua
    Fiellin, David A.
    [J]. JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2011, 56 : S91 - S97
  • [4] Development of an Institutional Opioid Prescriber Education Program and Opioid-Prescribing Guidelines Impact on Prescribing Practices
    Stepan, Jeffrey G.
    Lovecchio, Francis C.
    Premkumar, Ajay
    Kahlenberg, Cynthia A.
    Albert, Todd J.
    Baurley, James W.
    Nwachukwu, Benedict U.
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2019, 101 (01): : 5 - 13
  • [5] The Need for Balance in Evaluating Opioid-Prescribing Policies
    Hoffmann, Diane E.
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 2022, 112 : S28 - S29
  • [6] Optimizing Opioid-Prescribing Practices After Parathyroidectomy
    Sada, Alaa
    Ubl, Daniel S.
    Thiels, Cornelius A.
    Cronin, Patricia A.
    Dy, Benzon M.
    Lyden, Melanie L.
    Thompson, Geoffrey B.
    McKenzie, Travis J.
    Habermann, Elizabeth B.
    [J]. JOURNAL OF SURGICAL RESEARCH, 2020, 245 : 107 - 114
  • [7] Opioid-Prescribing Patterns in Body Contouring Surgery
    Mundra, Leela
    Garossi, Kassra
    Iorio, Matthew
    Mathes, David
    Winocour, Julian
    Kaoutzanis, Christodoulos
    [J]. AESTHETIC SURGERY JOURNAL, 2023, 43 (09) : 978 - 985
  • [8] Study aims to inform development of opioid-prescribing guidelines
    不详
    [J]. AORN JOURNAL, 2018, 108 (03) : P5 - P5
  • [9] Opioid-prescribing Patterns for Pediatric Patients in the United States
    Groenewald, Cornelius B.
    [J]. CLINICAL JOURNAL OF PAIN, 2019, 35 (06): : 515 - 520
  • [10] Are Temporal Trends Important Measures of Opioid-prescribing Risk?
    Bohnert, Amy S. B.
    Larochelle, Marc R.
    [J]. JOURNAL OF ADDICTION MEDICINE, 2019, 13 (01) : 5 - 6