HCS465 Wk2 Annotated Bibliography
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School
University of Phoenix *
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Course
HCS/465
Subject
Medicine
Date
Dec 6, 2023
Type
Pages
4
Uploaded by AmbassadorCrown11310
Annotated Bibliography
Kristen Draper
University of Phoenix
Health Care Research Utilization HCS/465
Joseph Harrison Jr Ph.D.
08/22/2023
Danielson, E. C., Harle, C. A., Silverman, R., Blackburn, J., & Menachemi, N. (2021). Assessing
Variation in State Opioid Tapering Laws: Comparing State Laws with the CDC
Guideline.
Pain Medicine
, 22(12), 2941-2949.
https://doi.org/10.1093/pm/pnab208
This study utilized a systematic search reviewing 50 state statutes and regulations that
addressed when and how to taper off opioids that were implemented after December 31,
2019. These statutes and regulations were then compared to the CDC (Center for Disease
Control) guidelines and pocket guides for tapering off opioids. The study then evaluated
each state by geographical region, population size, the governor's political leaning at the
time the laws and regulations were implemented, and the prescribing rate and overdose
rate. The purpose of the study was to examine and describe state laws and regulations that
address the when and how of tapering off opioids and to determine how these laws vary
by state and whether these laws are concordant with the CDC guidelines. As a result, the
study concluded that only 27 states had laws that mentioned tapering and that states with
higher overdose rates were more likely to enact tapering laws and have associated
penalties. It was also found that some state tapering laws do have some federal guideline
attributes but lack attributes deemed critical by experts. It was recommended that laws
and regulations adjust to fill the gap and become more adherent with the CDC guidelines.
DuBois, J. M., Chibnall, J. T., Anderson, E. E., Eggers, M., & Baldwin, K. (2016). A Mixed
Method Analysis of Reports on 100 Cases of Improper Prescribing of Controlled
Substances.
Journal of Drug Issues
, 46(4), 457-472.
https://doi.org/10.1177/0022042616661836
DuBois et al. (2016) used a mixed method analysis which reviewed published reports on
100 cases that had innapropriate precribing of controlled substances (IPCS) and reviewed
the environmental and individual factors associated with IPCS. The purpose was to
characterize such cases and to develop an explanation that would provide a deeper
understanding of the diverse factors that account for cases of IPCS. The sample consisted
of various typologies such as motivation by financial gain, physicians with self-centered
personality traits in small private practices that had little oversight and had a higher
opioid demand from vulnerable patients. It also included physicians with substance use
disorders themselves and had poor skills or judgement. The study also used forensic
theory to interpret the data and develop a theory on how each case occurred. It was
identified that most IPCS occurred when physicians had little to no oversight or had self-
centered personality traits. It was suggested that small private practices have more peer
oversight with collaborative physicians' agreements. It was also recommended that more
sensitivity training be conducted for those showing unprofessional behavior during
schooling. It was found when comparing this study to previous similar studies that states
with and without PDMP (prescription drug monitoring programs) that the use of
electronic data tracking software did not lead to an increase of IPCS or result in the
increase of complaints or disciplinary action against physicians.
Sacarny, A., Yokum, D., Finkelstein, A., & Agrawal, S. (2016). Medicare Letters to Curb
Overprescribing of Controlled Substances Had No Detectable Effect on Providers.
Health
Affairs
, 35(3), 471-479.
https://doi.org/10.1377/hlthaff.2015.1025
In this study, the sample was composed of 1,525 individuals who prescribed a much
higher amount of scheduled II controlled substances than their peers within the same state
and specialty within three years. During 2011, 2012 and 2013 the average prescriber from
the selected group was responsible for 406 percent more prescription fills when compared
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to their peers. The sample was compromised of prescribers in nine different specialties
including, Anesthesiology, Emergency Medicine, General Practitioners, Nurse
Practitioners, Orthopedic Surgery, Pain Medicine, Physical Medicine and Rehabilitation,
Physician Assistants, and Psychiatry and Neurology. The data was obtained from CMS
Medicare part D and included any prescribers that prescribed Schedule II drugs above the
75
th
percentile and dispensed 30-day supply of schedule II drugs and then that was
divided by thirty. This study had a randomized controlled trial approach that was used to
evaluate a low-cost, light touch intervention that was aimed at reducing the number of
schedule II-controlled substances that are dispensed, by mailing letters to the prescribers
that over prescribe schedule II-controlled substances. The study identified that the
primary outcome of schedule II-controlled substances prescription fills over 90 days
(about 3 months) post mailing of the letters, it was unable to identify if the letters had any
effect on the primary outcome.