Attitudes of Florida Pharmacists Toward Implementing a State Prescription Drug Monitoring Program for Controlled Substances

Fass, Jennifer A.; Hardigan, Patrick C.

doi:10.18553/jmcp.2011.17.6.430

Cited by 21 publications

(13 citation statements)

References 12 publications

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“…[99][100][101] While studies of pharmacists are more limited, pharmacists' attitudes toward PDMPs have been positive, with their primary use of the programs being to help reduce doctor shopping. 102 One of the most straightforward uses of PDMPs is altering this aberrant patient behavior by providing a coordinated and convenient source of controlled substance use information to prescribers, pharmacists, and law enforcement. One study showed that PDMP implementation reduced the time necessary to conduct investiga-tions into possible doctor shopping from 156 to 16 days.…”

Section: Prescription Drug Monitoring Programsmentioning

confidence: 99%

The opioid abuse and misuse epidemic: Implications for pharmacists in hospitals and health systems

Cobaugh

Gainor

Gaston

et al. 2014

American Journal of Health-System Pharmacy

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Section: Prescription Drug Monitoring Programsmentioning

confidence: 99%

The opioid abuse and misuse epidemic: Implications for pharmacists in hospitals and health systems

Cobaugh

Gainor

Gaston

et al. 2014

American Journal of Health-System Pharmacy

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“…Checking the PMP was rated as of higher importance by APRNs and physicians than pharmacists. Although pharmacists reported positive intention to use a PMP in previous studies (Fass & Hardigan, 2011;Fleming et al, 2014;Gavaza, Fleming, & Barner, 2014), the findings suggested the intention may be more conditional compared with prescribers. Possible reasons for the relatively lower values for PMP use may include lower self-efficacy among pharmacists to address prescription misuse, limited access to patient information, and technical barriers like PMP complexity and usability (Cochran, Field, Lawson, & Erickson, 2013;Hartung et al, 2018;Norwood & Wright, 2016).…”

Section: Influence Of Respondent Variablesmentioning

confidence: 68%

Factors Influencing Judgments to Consult Prescription Monitoring Programs: A Factorial Survey Experiment

Witry

Marie

Viyyuri

et al. 2020

Pain Management Nursing

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Background: Prescription monitoring programs (PMPs) can provide health care professionals with valuable information. However, few studies have explored providers' decision making for accessing PMPs. Aims: This study aimed to identify provider characteristics and situational factors most influencing perceived importance of consulting the PMP for patients in a simulated context. Design: The study used a cross-sectional factorial survey. Settings: The survey was administered electronically. Participants/Subjects: Community pharmacists, advanced practice registered nurses (APRNs), and physicians in Iowa. Methods: Participants were recruited by mail which included a link to the online survey. The survey consisted of demographic questions, eight randomly generated vignettes, and one ranked item. The vignettes described a hypothetical prescription using eight experimental variables whose levels were randomly varied. Respondents evaluated each vignette for importance to access the PMP. Analyses used linear mixed-effects models in R (Version 3.5.0). Results: A total of 138 responses were available for multilevel analysis. Women, physicians, and APRNs rated it more important to consult the PMP for a given prescription compared with men and pharmacists. Accessing a PMP was perceived as more important with cash payments, quantity dispensed, suspicion for misuse, hydromorphone and oxycodone prescriptions, and headache. Advancing age, postoperative pain, and anxiety or sleep indications were associated with less importance. Conclusions: Age, indication for prescribing, misuse, and payment mode each independently had greater importance to providers in accessing the PMP. This was the first study to isolate the influence of different controlled substances on how important it was to consult the PMP.

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“…Three years later, 21 states do so. ( 8 , 9 ). However, some states do not have prescription monitoring programs in place or they are not operational ( 10 ) and may never find the funding to do so.…”

Section: Discussionmentioning

confidence: 99%

Doctor shopping for medications used in the treatment of attention deficit hyperactivity disorder: shoppers often pay in cash and cross state lines

Cepeda

Fife

Berwaerts

et al. 2015

The American Journal of Drug and Alcohol Abuse

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Background: Doctor shopping, defined by filling overlapping prescriptions from more than one prescriber at more than two pharmacies, is a way to obtain scheduled medications for diversion or abuse. Little is known about how far attention deficit hyperactivity disorder (ADHD) medication shoppers travel, how often they cross state lines to fill their ADHD prescriptions and how often they pay for their medication in cash, i.e. entirely out of pocket. Objective: We sought to describe the pattern of doctor shopping for ADHD medications: how far shoppers travel, how often they cross state lines to fill their prescriptions, and how often they pay in cash. Methods: Retrospective cohort study using LRx, a large US retail prescription database. We included subjects with any ADHD medication dispensed between 2011 and 2012. Subjects were followed for 18 months. Results: Of a total of 4 402 464 subjects exposed to ADHD medications, 0.4% developed shopping behavior. Women were more likely to become shoppers. Shoppers travelled a median of 91.9 miles and non-shoppers 0.2 miles to fill their ADHD prescriptions. Almost 28% of the shoppers filled prescriptions in >1 state compared with 4.3% of non-shoppers. Of the shoppers, 27.3% paid at least one prescription in cash compared to 14.4% of the non-shoppers. Conclusions: Shoppers travelled larger distances, visited more states and paid in cash for ADHD medications more often than non-shoppers. Data sharing among prescriptions monitoring programs can improve their effectiveness and drug utilization studies should take account of cash purchases.

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Attitudes of Florida Pharmacists Toward Implementing a State Prescription Drug Monitoring Program for Controlled Substances

Cited by 21 publications

References 12 publications

The opioid abuse and misuse epidemic: Implications for pharmacists in hospitals and health systems

The opioid abuse and misuse epidemic: Implications for pharmacists in hospitals and health systems

Factors Influencing Judgments to Consult Prescription Monitoring Programs: A Factorial Survey Experiment

Doctor shopping for medications used in the treatment of attention deficit hyperactivity disorder: shoppers often pay in cash and cross state lines

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