Evidence map›Paper›PMID 33383263›Full record

ArticleJournal of health economics2021

Can policy affect initiation of addictive substance use? Evidence from opioid prescribing.

Daniel W Sacks, Alex Hollingsworth, Thuy Nguyen, Kosali Simon

Open access · greenAbstract read
In one paragraph

Article in Journal of health economics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
10.1field-weighted citation impact, top 1% 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

26 citing papers in PubMed, 84 citations in OpenAlex.

  1. Article
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  7. Predicting Extent of Opioid Use Following Cardiac Surgery: A Pilot Study.Journal of cardiothoracic and vascular anesthesia · 2025
    Observational
  8. Article
  9. Estimating price elasticities of demand for pain relief drugs: evidence from Medicare Part D.International journal of health economics and management · 2024
    Article
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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

4 authors at 2 institutions in 1 country.

Daniel W SacksIndiana University, Kelley School of Business, United States. Electronic address: dansacks@indiana.edu.
Alex HollingsworthIndiana University, O'Neill SPEA, United States. Electronic address: hollinal@indiana.edu.
Thuy NguyenUniversity of Michigan, School of Public Health, United States. Electronic address: thdnguye@indiana.edu.
Kosali SimonIndiana University, O'Neill SPEA, and NBER, United States. Electronic address: simonkos@indiana.edu.
Indiana University · USUniversity of Michigan–Ann Arbor · US

Funding

Doctor Shopping for Controlled Substances: Insights from Two-Mode Social Network AnalysisR01DA039928 · NIDA · TRUSTEES OF INDIANA UNIVERSITY · PI PERRY, BREA LOUISE · 2016 to 2019
$1.4M
NIDA NIH HHS R01 DA039928
6 · The paper itself

Abstract

Drug control policy can have unintended consequences by pushing existing users to alternative, possibly more dangerous substances. Policies that target only new users may therefore be especially promising. Using commercial insurance claims data, we provide the first evidence on a set of new policies intended to reduce opioid initiation in the form of limits on initial prescription length. We also provide the first evidence on the impact of must-access prescription drug monitoring programs (MA-PDMPs), laws that do not target new users, on initial opioid use. Although initial limit policies reduce the average length of initial prescriptions, they do so primarily by raising the frequency of short prescriptions, resulting in increases in opioids dispensed to new users. In contrast, we find that MA-PDMPs reduce opioids dispensed to new users, even though they do not explicitly set out to do so. Neither policy significantly affects extreme use such as doctor shopping among new patients, because such behavior is very rare.

Indexed as

Opioid-Related DisordersPrescription Drug Monitoring ProgramsAnalgesics, OpioidHumansPractice Patterns, Physicians'Public PolicyAnalgesics, OpioidAddictionInitial prescription limitsMust-access PDMPsOpioids

Identifiers

PMID33383263
PMCPMC8588877
OpenAlexW2952077436

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.