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Evaluating the impact of prescription drug monitoring program implementation: a scoping review

BACKGROUND: Prescription drug monitoring programs (PDMPs) have been implemented in 49 out of 50 states in an effort to reduce opioid-related misuse, abuse, and mortality, yet the literature evaluating the impact of PDMP implementation remains limited. We conducted a scoping review to: (1) describe a...

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Autores principales: Finley, Erin P., Garcia, Ashley, Rosen, Kristen, McGeary, Don, Pugh, Mary Jo, Potter, Jennifer Sharpe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5477729/
https://www.ncbi.nlm.nih.gov/pubmed/28633638
http://dx.doi.org/10.1186/s12913-017-2354-5
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author Finley, Erin P.
Garcia, Ashley
Rosen, Kristen
McGeary, Don
Pugh, Mary Jo
Potter, Jennifer Sharpe
author_facet Finley, Erin P.
Garcia, Ashley
Rosen, Kristen
McGeary, Don
Pugh, Mary Jo
Potter, Jennifer Sharpe
author_sort Finley, Erin P.
collection PubMed
description BACKGROUND: Prescription drug monitoring programs (PDMPs) have been implemented in 49 out of 50 states in an effort to reduce opioid-related misuse, abuse, and mortality, yet the literature evaluating the impact of PDMP implementation remains limited. We conducted a scoping review to: (1) describe available evidence regarding impact of PDMPs in the U.S.; and (2) propose a conceptual model to inform future PDMP implementation and evaluation efforts. METHODS: Scoping systematic review following Arksey and O’Malley’s (2005) methodology. We identified 11 relevant studies based on inclusion criteria using a PubMed database search of English-language studies published 1/1/2000–5/31/16. Data were extracted and thematic analysis conducted to synthesize results. RESULTS: Extant evidence for the impact of PDMPs as an opioid risk mitigation tool remains mixed. Thematic analysis revealed four domains of opioid-related outcomes frequently examined in original studies evaluating PDMP implementation: (1) opioid prescribing; (2) opioid diversion and supply; (3) opioid misuse; and (4) opioid-related morbidity and mortality. An evaluation framework incorporating these domains is presented that highlights significant gaps in empirical research across each of these domains. CONCLUSIONS: Evidence for the impact of state-level PDMPs remains mixed. We propose a conceptual model for evaluating PDMP implementation toward the goals of clarifying PDMP mechanisms of impact, identifying characteristics of PDMPs associated with best outcomes, and maximizing the utility of PDMP policy and implementation to reduce opioid-related public health burden.
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spelling pubmed-54777292017-06-23 Evaluating the impact of prescription drug monitoring program implementation: a scoping review Finley, Erin P. Garcia, Ashley Rosen, Kristen McGeary, Don Pugh, Mary Jo Potter, Jennifer Sharpe BMC Health Serv Res Research Article BACKGROUND: Prescription drug monitoring programs (PDMPs) have been implemented in 49 out of 50 states in an effort to reduce opioid-related misuse, abuse, and mortality, yet the literature evaluating the impact of PDMP implementation remains limited. We conducted a scoping review to: (1) describe available evidence regarding impact of PDMPs in the U.S.; and (2) propose a conceptual model to inform future PDMP implementation and evaluation efforts. METHODS: Scoping systematic review following Arksey and O’Malley’s (2005) methodology. We identified 11 relevant studies based on inclusion criteria using a PubMed database search of English-language studies published 1/1/2000–5/31/16. Data were extracted and thematic analysis conducted to synthesize results. RESULTS: Extant evidence for the impact of PDMPs as an opioid risk mitigation tool remains mixed. Thematic analysis revealed four domains of opioid-related outcomes frequently examined in original studies evaluating PDMP implementation: (1) opioid prescribing; (2) opioid diversion and supply; (3) opioid misuse; and (4) opioid-related morbidity and mortality. An evaluation framework incorporating these domains is presented that highlights significant gaps in empirical research across each of these domains. CONCLUSIONS: Evidence for the impact of state-level PDMPs remains mixed. We propose a conceptual model for evaluating PDMP implementation toward the goals of clarifying PDMP mechanisms of impact, identifying characteristics of PDMPs associated with best outcomes, and maximizing the utility of PDMP policy and implementation to reduce opioid-related public health burden. BioMed Central 2017-06-20 /pmc/articles/PMC5477729/ /pubmed/28633638 http://dx.doi.org/10.1186/s12913-017-2354-5 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Finley, Erin P.
Garcia, Ashley
Rosen, Kristen
McGeary, Don
Pugh, Mary Jo
Potter, Jennifer Sharpe
Evaluating the impact of prescription drug monitoring program implementation: a scoping review
title Evaluating the impact of prescription drug monitoring program implementation: a scoping review
title_full Evaluating the impact of prescription drug monitoring program implementation: a scoping review
title_fullStr Evaluating the impact of prescription drug monitoring program implementation: a scoping review
title_full_unstemmed Evaluating the impact of prescription drug monitoring program implementation: a scoping review
title_short Evaluating the impact of prescription drug monitoring program implementation: a scoping review
title_sort evaluating the impact of prescription drug monitoring program implementation: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5477729/
https://www.ncbi.nlm.nih.gov/pubmed/28633638
http://dx.doi.org/10.1186/s12913-017-2354-5
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