Effect of an opioid management program for Colorado workers’ compensation providers on adherence to treatment guidelines for chronic pain
| Autor: | Lee S. Newman, Kathryn L. Mueller, Liliana Tenney, Lisa M. McKenzie, Brenden Matus |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Colorado Workers' compensation Drug Prescriptions Opioid prescribing Article 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Retrospective Studies Insurance Claim Reporting business.industry Public Health Environmental and Occupational Health Chronic pain Retrospective cohort study medicine.disease Occupational Injuries Drug Utilization Analgesics Opioid Long acting Incentive Opioid Family medicine Practice Guidelines as Topic Workers' Compensation Guideline Adherence Chronic Pain business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | American Journal of Industrial Medicine. 62:21-29 |
| ISSN: | 1097-0274 0271-3586 |
| Popis: | Objective The aim of this study was to examine adherence of state guidelines for Colorado workers' compensation physicians/providers treating individuals as injured workers with chronic pain after initiation of an opioid management program and provider incentives. Methods A retrospective cohort of chronic, non-cancer pain claims was constructed from the Colorado's workers' compensation database. Adherence to treatment guidelines and opioid prescribing practices were evaluated during implementation of a new billing code to incentivize adherence. Results Overall, less than 33% of claims showed evidence of opioid management. Comprehensive opioid management was observed in only 4.4% of claims. In 2010, after implementing the new billing code, the ratio of long acting opioids to short acting opioids decreased from 0.2 to 0.13; returning to 0.2 in one year. Similarly, morphine equivalent doses declined for a short period. Conclusions Incentivizing physicians to adhere to chronic pain management guidelines only temporarily improves prescribing practices. |
| Databáze: | OpenAIRE |
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