Association of Electronic Prescribing of Controlled Substances With Opioid Prescribing Rates
Author(s) -
Jordan Everson,
Audrey Cheng,
Stephen W. Patrick,
Stacie B. Dusetzina
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.27951
Subject(s) - medicine , medical prescription , opioid , retrospective cohort study , population , cohort , morphine , emergency medicine , environmental health , pharmacology , receptor
Key Points Question Have states with greater increases in electronic prescribing of controlled substances (EPCS), which is intended to reduce opioid prescribing rates by reducing fraud and facilitating decision support, experienced greater reductions in opioid prescribing? Findings In this longitudinal analysis of Surescripts reports on the use of EPCS and Center of Disease Prevention and Control opioid prescribing rate maps, increasing the use of EPCS by 10 percentage points was associated with 2 more opioid prescriptions per 100 persons and 0.8% more morphine milligram equivalents. Meaning The EPCS has not been associated with reductions in opioid prescribing rates, and achieving benefit may require greater integration and effective presentation of data.
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