Prescription Drug Monitoring Programs

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Pain Management and the Opioid Epidemic

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309459575
Total Pages : 483 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Prescription Drug Monitoring Programs

Author : Kristin M. Finklea
Publisher :
ISBN 13 : 9781457836213
Total Pages : 25 pages
Book Rating : 4.8/5 (362 download)

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Book Synopsis Prescription Drug Monitoring Programs by : Kristin M. Finklea

Download or read book Prescription Drug Monitoring Programs written by Kristin M. Finklea and published by . This book was released on 2012-12-06 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the midst of national concern over illicit drug use and abuse, prescription drug abuse has been identified as the U.S.' fastest growing drug problem. Nearly all prescription drugs involved in overdoses are originally prescribed by a physician (rather than, for ex., being stolen from pharmacies). Thus, attention has been directed toward preventing the diversion of prescription drugs after the prescriptions are dispensed. Prescription drug monitoring programs (PDMPs) maintain statewide electronic databases of prescriptions dispensed for controlled substances (i.e., prescription drugs of abuse that are subject to stricter government regulation). Information collected by PDMPs may be used to support access to and legitimate medical use of controlled substances; identify or prevent drug abuse and diversion; facilitate the identification of prescription drug-addicted individuals and enable intervention and treatment; outline drug use and abuse trends to inform public health initiatives; or educate individuals about prescription drug use, abuse, and diversion as well as about PDMPs. How PDMPs are organized and operated varies among states. Contents of this report: Introduction; PDMPs; PDMP Effectiveness; Federal Grant Programs for State PDMPs; Selected Policy Issues. Tables. This is a print on demand report.

Prescription Drug Monitoring Programs

Author : Kristin M. Finklea
Publisher : Createspace Independent Pub
ISBN 13 : 9781479105960
Total Pages : 28 pages
Book Rating : 4.1/5 (59 download)

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Book Synopsis Prescription Drug Monitoring Programs by : Kristin M. Finklea

Download or read book Prescription Drug Monitoring Programs written by Kristin M. Finklea and published by Createspace Independent Pub. This book was released on 2012-08-10 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the midst of national concern over illicit drug use and abuse, prescription drug abuse has been identified as the United States' fastest growing drug problem. Nearly all prescription drugs involved in overdoses are originally prescribed by a physician (rather than, for example, being stolen from pharmacies). Thus, attention has been directed toward preventing the diversion of prescription drugs after the prescriptions are dispensed. Prescription drug monitoring programs (PDMPs) maintain statewide electronic databases of prescriptions dispensed for controlled substances (i.e., prescription drugs of abuse that are subject to stricter government regulation). Information collected by PDMPs may be used to support access to and legitimate medical use of controlled substances; identify or prevent drug abuse and diversion; facilitate the identification of prescription drug-addicted individuals and enable intervention and treatment; outline drug use and abuse trends to inform public health initiatives; or educate individuals about prescription drug use, abuse, and diversion as well as about PDMPs. How PDMPs are organized and operated varies among states. Each state determines which agency houses the PDMP; which controlled substances must be reported; which types of dispensers are required to submit data (e.g., pharmacies); how often data are collected; who may access information in the PDMP database (e.g., prescribers, dispensers, or law enforcement); the circumstances under which the information may (or must) be accessed; and what enforcement mechanisms are in place for noncompliance. States finance PDMPs using monies from a variety of sources including the state general fund, prescriber and pharmacy licensing fees, state controlled substance registration fees, health insurers' fees, direct-support organizations, state grants, and/or federal grants. The federal government has established two grant programs aimed at supporting state PDMPs: The Harold Rogers PDMP grant, administered by the Department of Justice, and the National All Schedules Prescription Electronic Reporting Act of 2005 (NASPER) grant, administered by the Department of Health and Human Services. State PDMPs vary widely with respect to whether or how information contained in the database is shared with other states. While some states do not have measures in place allowing interstate sharing of information, others have specific practices for sharing. An effort is ongoing to facilitate information sharing using prescription monitoring information exchange (PMIX) architecture. Legislation has been introduced in the 112th Congress that would take up these issues. The available evidence suggests that PDMPs are effective in reducing the time required for drug diversion investigations, changing prescribing behavior, reducing “doctor shopping,” and reducing prescription drug abuse; however, research on the effectiveness of PDMPs is limited. Assessments of effectiveness may also take into consideration potential unintended consequences of PDMPs, such as limiting access to medications for legitimate use or pushing drug diversion activities over the border into a neighboring state. Experts suggest that PDMP effectiveness might be improved by increasing the timeliness, completeness, consistency, and accessibility of the data. Current policy issues that might come before Congress include the role of state PDMPs in the federal prescription drug abuse strategy and the role of the federal government in interstate datasharing and interoperability. While establishment and enhancement of PDMPs enjoy broad support, stakeholders express concerns about health care versus law enforcement uses of PDMP data (particularly with regard to protection of personally identifiable health information) and maintaining access to medication for patients with legitimate medical needs.

Factorial Survey Experiments

Author : Katrin Auspurg
Publisher : SAGE Publications
ISBN 13 : 1483324303
Total Pages : 246 pages
Book Rating : 4.4/5 (833 download)

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Book Synopsis Factorial Survey Experiments by : Katrin Auspurg

Download or read book Factorial Survey Experiments written by Katrin Auspurg and published by SAGE Publications. This book was released on 2014-11-28 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: Filling a gap in the literature of the field, Factorial Survey Experiments provides researchers with a practical guide to using the factorial survey method to assess respondents’ beliefs about the world, judgment principles, or decision rules through multi-dimensional stimuli (“vignettes”) that resemble real-life decision-making situations. Using insightful examples to illustrate their arguments, authors Katrin Auspurg and Thomas Hinz guide researchers through all relevant steps, including how to set up the factorial experimental design (drawing samples of vignettes and respondents), how to handle the practical challenges that must be mastered when an experimental plan with many different treatments is embedded in a survey format, and how to deal with questions of data analysis. In addition to providing the “how-tos” of designing factorial survey experiments, the authors cover recent developments of similar methods, such as conjoint analyses, choice experiments, and more advanced statistical tools.

Prescription Drug Abuse and Diversion

Author : United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions
Publisher :
ISBN 13 :
Total Pages : 64 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Prescription Drug Abuse and Diversion by : United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions

Download or read book Prescription Drug Abuse and Diversion written by United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions and published by . This book was released on 2005 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medications for Opioid Use Disorder Save Lives

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309486483
Total Pages : 175 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Medications for Opioid Use Disorder Save Lives by : National Academies of Sciences, Engineering, and Medicine

Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

ARCOS

Author : United States. Drug Enforcement Administration
Publisher :
ISBN 13 :
Total Pages : 4 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis ARCOS by : United States. Drug Enforcement Administration

Download or read book ARCOS written by United States. Drug Enforcement Administration and published by . This book was released on 1980 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Impact of Prescription Drug Monitoring Programs on U.S. Opioid Prescriptions

Author : Ian Ayres
Publisher :
ISBN 13 :
Total Pages : 24 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis The Impact of Prescription Drug Monitoring Programs on U.S. Opioid Prescriptions by : Ian Ayres

Download or read book The Impact of Prescription Drug Monitoring Programs on U.S. Opioid Prescriptions written by Ian Ayres and published by . This book was released on 2018 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper seeks to understand the treatment effect of Prescription Drug Monitoring Programs (PDMPs) on opioid prescription rates. Using county-level panel data on all opioid prescriptions in the U.S. between 2006 and 2015, we investigate whether state interventions like PDMPs have heterogeneous treatment effects at the sub-state level, based on regional and temporal variations in policy design, extent of urbanization, race, and income. Our models comprehensively control for a set of county and time fixed effects, county-specific and time-varying demographic controls, potentially endogenous time-series trends in prescription rates, and other state-level opioid interventions such as Naloxone Access and Good Samaritan laws, Medicaid expansion, and the provision of Methadone Assistance Treatment. We find that PDMPs are only effective in reducing prescription rates if they obligate doctors to check for patients' history prior to filling out a prescription, but the frequency at which a state requires its PDMP to be updated is irrelevant to its effectiveness. Moreover, the significant treatment effects of PDMPs are almost exclusively driven by urban and predominantly white counties, with the relatively more affluent regions showing greater responsiveness than their less affluent counterparts.

Pain Care Essentials and Innovations

Author : Sanjog Pangarkar
Publisher : Elsevier Health Sciences
ISBN 13 : 0323722172
Total Pages : 296 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Pain Care Essentials and Innovations by : Sanjog Pangarkar

Download or read book Pain Care Essentials and Innovations written by Sanjog Pangarkar and published by Elsevier Health Sciences. This book was released on 2020-06-30 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering the newest trends and treatments in pain care, as well as the pain treatment strategies that have been successfully employed in the past, Pain Care Essentials and Innovations brings you fully up to date with effective treatments for acute and chronic pain. It offers expert guidance on both interventional and non-interventional strategies, provided by respected academic physiatrists who practice evidence-based medicine at UCLA and an ACGME-accredited rehabilitation and pain program. Covers cannabinoids in pain care, novel therapeutics in pain medicine, and integrative care in pain management. Discusses relevant basic science, psychological aspects of pain care, opioids and practice guidelines, geriatric pain management, and future research in the field. Consolidates today’s available information and guidance into a single, convenient resource.

Prescriptyion Opioid Analgesic Use Among Adults : United States, 1999-2012

Author : Steven M. Frenk
Publisher :
ISBN 13 :
Total Pages : 12 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Prescriptyion Opioid Analgesic Use Among Adults : United States, 1999-2012 by : Steven M. Frenk

Download or read book Prescriptyion Opioid Analgesic Use Among Adults : United States, 1999-2012 written by Steven M. Frenk and published by . This book was released on 2015 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Addiction Medicine

Author : Bankole A. Johnson
Publisher : Springer Science & Business Media
ISBN 13 : 1441903380
Total Pages : 1611 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Addiction Medicine by : Bankole A. Johnson

Download or read book Addiction Medicine written by Bankole A. Johnson and published by Springer Science & Business Media. This book was released on 2010-10-10 with total page 1611 pages. Available in PDF, EPUB and Kindle. Book excerpt: The spectrum of addiction disorders presents practitioners with numerous challenges—among them the widening gap between a growing evidence base and the translation of this knowledge into treatment outcomes. Addiction Medicine addresses this disconnect, clearly explaining the role of brain function in drug taking and other habit-forming behaviors, and applying this biobehavioral framework to the delivery of evidence-based treatment. Its state-of-the-art coverage provides clinically relevant details on not only traditional sources of addiction such as cocaine, opiates, and alcohol, but also more recently recognized substances of abuse (e.g., steroids, inhalants) as well as behavioral addictions (e.g., binge eating, compulsive gambling, hoarding). Current behavioral and medical therapies are discussed in depth, and the book’s close attention to social context gives readers an added lens for personalizing treatment. An international panel of expert contributors offers the most up-to-date information on: Diagnosis and classification Neurobiological and molecular theories of addiction Behavioral concepts of addiction Clinical aspects of addiction to a wide range of substances, including opiates, stimulants, sedatives, hallucinogens, alcohol, nicotine, and caffeine Science-based treatment options: pharmacotherapy, pharmacogenetics, potential vaccines, brief and compliance-enhancing interventions, cognitive behavioral treatment, behavioral management, and other psychosocial interventions Behavioral addictions—including compulsive eating, Internet messaging, and hypersexuality—and their treatment Addiction in specific populations, including adolescents, the elderly, pregnant women, and health care professionals Legal, disability, and rehabilitation issues At once comprehensive and integrative, Addiction Medicine is an essential text and a practice-expanding tool for psychiatrists, health psychologists, pharmacologists, social workers, drug counselors, trainees, and general physicians/family practitioners.

Prescription Drug Monitoring

Author : United States. General Accounting Office
Publisher :
ISBN 13 :
Total Pages : 20 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Prescription Drug Monitoring by : United States. General Accounting Office

Download or read book Prescription Drug Monitoring written by United States. General Accounting Office and published by . This book was released on 1992 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Assessment and Treatment of Addiction

Author : Itai Danovitch
Publisher : Elsevier Health Sciences
ISBN 13 : 0323548571
Total Pages : 253 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis The Assessment and Treatment of Addiction by : Itai Danovitch

Download or read book The Assessment and Treatment of Addiction written by Itai Danovitch and published by Elsevier Health Sciences. This book was released on 2018-11-15 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get a quick, expert overview of all types of addiction – from substance use disorders to behavioral addictions and more. This practical resource presents a focused summary of today's current knowledge on topics of interest to all health care professionals who work with those who suffer from this wide-ranging problem. It provides current, relevant information on emerging findings, best practices, and treatment challenges, covering a variety of assessment and treatment strategies and making it a one-stop resource for staying up to date in this critical area. - Discusses precision health in addiction; the latest trend of electronic cigarettes; state-of-the-art treatments for opioid use disorder and cannabis use disorder; best practices for chronic pain; prevention among adolescents; the role of physicians in the prescription drug epidemic; and the role of integrative interventions in addiction treatment. - Includes coverage of behavioral addictions such as internet, sex, and gambling; food addiction; PTSD and substance use disorders; preventing relapse; the neurobiology of addiction; and more. - Consolidates today's available information on this timely topic into one convenient resource.

Fighting the Opioid Epidemic

Author : Amitava Dasgupta
Publisher : Elsevier
ISBN 13 : 0128200758
Total Pages : 160 pages
Book Rating : 4.1/5 (282 download)

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Book Synopsis Fighting the Opioid Epidemic by : Amitava Dasgupta

Download or read book Fighting the Opioid Epidemic written by Amitava Dasgupta and published by Elsevier. This book was released on 2020-08-15 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fighting the Opioid Epidemic: The Role of Providers and the Clinical Laboratory in Understanding Who Is Vulnerable covers the important aspects that are essential in fighting the opioid epidemic. This succinct reference highlights how the toxicology laboratory can play a vital role in fighting the opioid epidemic by implementing a robust system for drugs of abuse testing as well as drug testing in pain management patients. It targets health care professionals in a technical manner, discussing polymorphisms of important genes that may be associated with increased vulnerability of alcohol and drug addiction to an individual. Covers all important aspects of opioid abuse, including genetic and environmental factors Discusses pharmacology, toxicology and the pharmacogenomics related to opioid metabolism Presents genetic and environmental factors associated with those vulnerable to opioid addiction, as well as the pitfalls of drug testing in pain management

How Do Prescription Drug Monitoring Programs Reduce Opioid Prescribing?

Author : Abby E. Alpert
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (118 download)

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Book Synopsis How Do Prescription Drug Monitoring Programs Reduce Opioid Prescribing? by : Abby E. Alpert

Download or read book How Do Prescription Drug Monitoring Programs Reduce Opioid Prescribing? written by Abby E. Alpert and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Past work demonstrates that mandated prescription drug monitoring programs (PDMPs) decrease opioid prescribing, but provides limited evidence on mechanisms. We analyze Kentucky's landmark PDMP mandate to disentangle the role of information versus hassle costs. PDMP mandates are meant to affect prescribing through information provision but may also unintentionally affect prescribing through the hassle cost of required record checks. On net, we find that although information clearly affected prescribing, hassle costs explain the majority of the decline in prescribing from this program. Hassle costs, however, did not deter physicians from prescribing opioids to the patients who would benefit the most.

Improving Kentucky's Prescription Drug Monitoring Program

Author : Kentucky. Prescription Drug Abuse Task Force
Publisher :
ISBN 13 :
Total Pages : 58 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Improving Kentucky's Prescription Drug Monitoring Program by : Kentucky. Prescription Drug Abuse Task Force

Download or read book Improving Kentucky's Prescription Drug Monitoring Program written by Kentucky. Prescription Drug Abuse Task Force and published by . This book was released on 2003 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The ADA Practical Guide to Substance Use Disorders and Safe Prescribing

Author : Michael O'Neil
Publisher : John Wiley & Sons
ISBN 13 : 1118925289
Total Pages : 239 pages
Book Rating : 4.1/5 (189 download)

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Book Synopsis The ADA Practical Guide to Substance Use Disorders and Safe Prescribing by : Michael O'Neil

Download or read book The ADA Practical Guide to Substance Use Disorders and Safe Prescribing written by Michael O'Neil and published by John Wiley & Sons. This book was released on 2015-05-05 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dentists have been inundated by patients with an array of complicated medical conditions and pain/sedation management issues. This is in addition to a variety of legal regulations dentists must follow regarding the storage and recordkeeping of controlled substances. Avoid unknowingly putting your practice at risk by becoming victim to a scam or violating a recordkeeping requirement with The ADA Practical Guide to Substance Use Disorders and Safe Prescribing. This Practical Guide is ideal for dentists and staff as they navigate: • Detecting and deterring substance use disorders (SUD) and drug diversion in the dental office (drug-seeking patients) • Prescribing complexities • Treating patients with SUD and complex analgesic and sedation (pain/sedation management) needs and the best use of sedation anxiety medication • Interviewing and counselling options for SUD • Federal drug regulations Commonly used illicit, prescription, and over-the-counter drugs, as well as alcohol and tobacco, are also covered. Special features include: • Clinical tools proven to aid in the identification, interviewing, intervention, referral and treatment of SUD • Basic elements of SUD, acute pain/sedation management, and drug diversion • Summary of evidence-based literature that supports what, when and how to prescribe controlled substances to patients with SUD • Discussion of key federal controlled substance regulations that frequently impact dental practitioners • Checklists to help prevent drug diversion in dental practices • Chapter on impaired dental professionals • Case studies that examine safe prescribing and due diligence