2022
DOI: 10.1097/phh.0000000000001583
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Achieving Reductions in Opioid Dispensing: A Qualitative Comparative Analysis of State-Level Efforts to Improve Prescribing

Abstract: Objective: To determine whether any combinations of state-level public health activities were necessary or sufficient to reduce prescription opioid dispensing. Design: We examined 2016-2019 annual progress reports, 2014-2019 national opioid dispensing data (IQVIA), and interview data from states to categorize activities. We used crisp-set Qualitative Comparative Analysis to determine which program activities, individually or in combination, were necessary or sufficient for a better than average decrease in mor… Show more

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Cited by 2 publications
(3 citation statements)
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References 27 publications
(74 reference statements)
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“…Two studies in this review found associations between PDMPs and opioid prescriptions but only if paired with another opioid misuse risk mitigation effort [42,55]. Furthermore, studies have tracked rising opioid overdose deaths despite changes in prescribing behavior [132][133][134][135][136].…”
Section: Pdmp Policy Must Be Considered In the Larger Discussion Of O...mentioning
confidence: 89%
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“…Two studies in this review found associations between PDMPs and opioid prescriptions but only if paired with another opioid misuse risk mitigation effort [42,55]. Furthermore, studies have tracked rising opioid overdose deaths despite changes in prescribing behavior [132][133][134][135][136].…”
Section: Pdmp Policy Must Be Considered In the Larger Discussion Of O...mentioning
confidence: 89%
“…Six studies evaluated outcomes following proactive clinician notification of potentially inappropriate prescriptions. Five of these studies showed a decrease in the number of opioid prescriptions overall [42,[66][67][68][69] versus one that showed no change [70]. Proactive notification also appeared to have an effect on the number of risky prescriptions.…”
Section: Resultsmentioning
confidence: 99%
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