Obstetrician-gynecologist perceptions and utilization of prescription drug monitoring programs: A survey study
| Autor: | Chris Delcher, Dikea Roussos-Ross, Joshua D. Brown, Amie Goodin, Jungjun Bae |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Attitude of Health Personnel education MEDLINE opioid abuse Obstetrician gynecologist 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Quality Improvement Study medicine primary prevention tools Humans 030212 general & internal medicine Prescription Drug Monitoring Program Medical prescription Practice Patterns Physicians' Response rate (survey) Controlled substance business.industry Survey research General Medicine women's health United States Clinical Practice Obstetrics Cross-Sectional Studies Gynecology 030220 oncology & carcinogenesis Family medicine opioid diversion Prescription Drug Monitoring Programs Female business Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Query of Prescription Drug Monitoring Programs (PDMPs) is recommended before prescribing opioids by the US Centers for Disease Control and Prevention, to inform clinical practice and aid diversion prevention. Many states mandate prescriber PDMP use; however, little is known about PDMP perception of utility and use among Obstetricians-Gynecologists (OB/GYN), who are the primary provider for most women during pregnancy. This study examined OB/GYN perceptions and utilization of their state PDMP. Survey items were developed by expert consensus. A voluntary anonymous survey was emailed to a random sample of 5000 OB/GYNs (adjusted participants n = 1470, minus unread/refusals). Responses were stratified by state policy environment, where response frequency distributions were compared for OB/GYNs practicing in states with mandatory vs voluntary PDMP query. Adjusted response rate was 27% (n = 397). Most OB/GYNs (78%) were registered with their PDMP. The majority agreed that “…mandating physician use of the PDMP was a good idea” (51.4% mandatory state vs 58.3% voluntary state). Respondents in mandatory states reported that the primary purpose of the PDMP was “to allow the physician to verify medications that the patient is being prescribed” less frequently than those in voluntary states (38.3% vs 52.8%). Several report speaking with patients about controlled substance prescriptions after viewing PDMP reports (27.8% in mandatory vs 26.3% in voluntary states). In qualitative responses, reported frustration with PDMPs was evident. OB/GYNs are diverse in their perceptions regarding the utility and purpose of PDMPs. Tailored education is needed regarding clinical utility of PDMPs for OB/GYN practice. |
| Databáze: | OpenAIRE |
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