Evidence map›Paper›PMID 30243575›Full record

ArticleResearch in social & administrative pharmacy : RSAP2019

Utilization of prescription drug monitoring programs for prescribing and dispensing decisions: Results from a multi-site qualitative study.

Patricia R Freeman, Geoffrey M Curran, Karen L Drummond, Bradley C Martin, Benjamin S Teeter, Katharine Bradley, Nancy Schoenberg, Mark J Edlund

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Research in social & administrative pharmacy : RSAP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Patricia R FreemanUniversity of Kentucky College of Pharmacy, 789 South Limestone Street, Lexington, KY, 40536, USA. Electronic address: trfree1@uky.edu.
Geoffrey M CurranUniversity of Arkansas for Medical Sciences, 4301 West Markham St., #522-4, Little Rock, AR, 72205-7199, USA; Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, North Little Rock, AR, 72114, USA.
Karen L DrummondUniversity of Arkansas for Medical Sciences, 4301 West Markham St., #522-4, Little Rock, AR, 72205-7199, USA; Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, North Little Rock, AR, 72114, USA.
Bradley C MartinUniversity of Arkansas for Medical Sciences, 4301 West Markham St., #522-4, Little Rock, AR, 72205-7199, USA; Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, North Little Rock, AR, 72114, USA.
Benjamin S TeeterUniversity of Arkansas for Medical Sciences, 4301 West Markham St., #522-4, Little Rock, AR, 72205-7199, USA.
Katharine BradleyKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Seattle, WA, 98101, USA.
Nancy SchoenbergUniversity of Kentucky College of Medicine, 125 Medical Behavioral Science Office Building, Lexington, KY, 40536-0086, USA.
Mark J EdlundRTI International, 3040 East Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709-2194, USA.
Central Arkansas Veterans Healthcare System · USUniversity of Kentucky · USKaiser Permanente Washington Health Research Institute · USRTI International · USUniversity of Arkansas for Medical Sciences · US

Funding

Prescribers, Pharmacists, & the Opioid Dilemma: a Multi-Site Qualitative StudyR01DA034627 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI EDLUND, MARK J. · 2014 to 2016
$1.3M
NIDA NIH HHS R01 DA034627
6 · The paper itself

Abstract

backgroundPrescription drug monitoring programs (PDMPs) track the dispensing of prescription-controlled substances with the goal of mitigating misuse and diversion. Authorized users query the PDMP for controlled substance prescription histories at the point of care. Despite widespread implementation of PDMPs, there is much not known about how PDMPs influence prescribing and dispensing decisions.

objectivesThe objective of this study was to investigate how primary care providers (PCPs) and pharmacists utilize PDMPs when making prescribing and dispensing decisions.

methodsData from in-depth, qualitative interviews with PCPs (n = 48) and community pharmacists (n = 60) across four states- Arkansas, Idaho, Kentucky, and Washington were analyzed for themes around PDMP use.

resultsBoth PCPs and pharmacists reported that PDMPs are key tools for aiding prescribing and dispensing decisions. PCPs reported variable use of PDMPs with most querying the PDMP when there are "red flags" and fewer reporting having clinic policies that direct PDMP use. Primary care providers in Kentucky reported more consistent and routine use of the PDMP as a result of a state law that mandates query prior to the initial prescribing of Schedule II controlled substances. Community pharmacists practicing in chain pharmacies reported formal policies requiring PDMP query prior to dispensing opioids, while utilization of PDMPs by pharmacists practicing in independently-owned pharmacies was more variable. Pharmacists and PCPs reported barriers to PDMP use, such as having to "log in on a separate machine" and perceived that PDMP utility could be improved by integrating it within pharmacy dispensing systems and electronic health records.

conclusionsPharmacists and PCPs reported the importance of PDMP information to aid their prescribing and dispensing decisions. Efforts to enhance state PDMP programs should consider processes that seamlessly integrate all available controlled substance prescription history for a given patient at the point of care so that PDMP utility for prescribing and dispensing decisions is maximized.

Indexed as

Prescription Drug Monitoring ProgramsAttitude of Health PersonnelDecision MakingElectronic Health RecordsFemaleHumansInterprofessional RelationsMalePharmacistsPhysicians, Primary CarePrescription Drug MisuseQualitative ResearchUnited States

Identifiers

PMID30243575
PMCPMC6417986
OpenAlexW2891177138

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.