Opioid Prescribing Patterns in the U.S.

美国的阿片类药物处方模式

• 批准号: 7101282
• 负责人: Mark J Pletcher
• 金额: $ 4.4万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-03-01 至 2008-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7101282
• 关键词: analgesia; behavioral /social science research tag; cancer pain; chemotherapy; chronic pain; drug controls; emergency health services; geographic difference; health behavior; health care personnel education; health care personnel performance; health care policy; health care quality; health care service evaluation; health services research tag; health surveys; human data; longitudinal human study; opiate alkaloid; outpatient care; patient care personnel attitude; patient oriented research; self medication; substance abuse epidemiology; substance abuse related behavior

DESCRIPTION (Provided by the Applicant): Prescription opioid abuse has emerged as a major public health problem in the U.S. during the last decade. Nearly five million Americans actively use these medications for non-medical purposes, and nearly one million are physically dependent on them, making pain medicine addiction as common as cocaine addiction in the U.S. This substance abuse epidemic is unique in that the "supply side" of the epidemic is controlled by physicians, who prescribe these addictive but often essential medications for treatment of pain. There is concern, however, that changes in physician prescribing patterns during the last 10 years may be partially responsible for fueling the epidemic. The objective of this research is to understand how physician prescribing patterns have changed during the last decade, with the ultimate goal of improving the quality of physician prescribing and informing public policy. The National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS) offer a unique opportunity to examine changing opioid prescribing patterns by providing extensive cross-sectional data every year on a large, nationally representative sample of all ambulatory care visits to non-federally-employed office-based physicians (NAMCS), hospital-based outpatient departments (NHAMCS-OPD), and emergency departments (NHAMCS-ED). Using NAMCS/NHAMCS data collected on 851,212 unique patient visits during survey years 1993-2002, we plan to analyze: How many ambulatory care visits result in an opioid prescription every year in the U.S. How patient behavior (presenting with pain) and physician behavior (prescribing for pain) contribute to trends in opioid prescribing How choice of analgesic has changed over time (non-opioids vs. opioids, short- vs. long-acting opioids, high abuse potential and brand name formulations) How opioid prescribing differs by clinical setting, physician type, and geographic area/U.S. state Summary and relevance to public health: Addiction to pain medications is a major public health problem in the U.S. that has increased markedly in the last 10 years. The goal of this research is to understand how physician prescribing has changed during this time period, and to generate ideas for how physicians and policymakers, who control the supply of these addictive but essential medications, can slow the epidemic.

描述（由申请人提供）：在过去的十年中，处方阿片类药物滥用已成为美国的主要公共卫生问题。近500万美国人为非医学目的主动使用这些药物，并且有将近一百万的人在物理上依赖于它们，这使得美国在美国的可卡因成瘾与可卡因成瘾一样普遍，这种滥用药物滥用流行是独一无二的，因为该流行病的“供应方面”受医生控制的，这些药物受到了这些成瘾性但通常为疼痛治疗的必不可少的药物。然而，令人担忧的是，在过去的10年中，医师开处方模式的变化可能部分造成了流行病的促进。 这项研究的目的是了解医师处方模式在 在过去的十年中，最终的目标是提高医生开处方和通知公共政策的质量。 The National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS) offer a unique opportunity to examine changing opioid prescribing patterns by providing extensive cross-sectional data every year on a large, nationally representative sample of all ambulatory care visits to non-federally-employed office-based physicians (NAMCS), hospital-based outpatient departments (NHAMCS-OPD), and emergency departments （NHAMCS-ED）。使用NAMCS/NHAMCS数据在1993 - 2002年调查期间收集的851,212次独特的患者就诊，我们计划分析： 在美国，每年有多少次门诊护理访问导致阿片类药物处方 患者行为（表现出疼痛）和医师行为（处方疼痛）如何有助于阿片类药物处方的趋势 镇痛药的选择如何随着时间的流逝而改变（非阿片类药物与阿片类药物，短期和长效阿片类药物，高滥用潜力和品牌名称表述） 阿片类药物的处方如何因临床环境，医师类型和地理区域/美国的不同而有所不同。状态 在过去10年中，对公共卫生的简要和与公共卫生相关：对止痛药的成瘾是一个主要的公共卫生问题。这项研究的目的是了解在此期间的医师处方如何改变，并为如何控制这些令人上瘾但必不可少的药物的供应的医师和政策制定者如何降低流行病的想法。