Navigation Links
Study: Access to health care increases prescription opioid availability and associated abuse
Date:11/4/2013

BOSTON -- Researchers at Indiana University-Purdue University Indianapolis say one way to gauge the extent of prescription opioid pain reliever abuse in any Indiana county is to count the number of health care providers, particularly dentists and pharmacists.

In a study of opioid use and abuse, the researchers said they found that access to health care increases the availability of prescription opioids, which, in turn, is associated with higher rates of opioid abuse and associated consequences.

The study concludes the structure of local health care systems at the county level is a major determinant of community-level access to opioids.

"Our study clearly underscores that the broader problem of prescription opioid abuse in Indiana is, in part, an 'iatrogenic epidemic,' or an unintended and unfortunate byproduct of the evolution of our health care system, medical science and the growth of the pharmaceutical industry," said Eric Wright, who led the study. Wright is a professor and chair of the Department of Health Policy and Management in the Richard M. Fairbanks School of Public Health at IUPUI. He also is director of the Center for Health Policy at IUPUI.

The study's findings will be presented Nov. 5 at the American Public Health Association annual meeting in Boston.

Prescription opioid abuse is a public health problem in the United States, with the number of prescriptions for opioid pain relievers dispensed in the U.S. climbing dramatically over the past decade. The Food and Drug Administration estimates retail pharmacies filled about 174.1 million prescriptions for immediate- and extended-release opioid pain relievers in 2002. By 2009, this number had risen to 256.9 million.

In Indiana, counties with higher rates of dentists and pharmacists had more per-capita opioid prescriptions. Prior research has shown that dentists are a significant source of opioid prescriptions, which are dispensed by pharmacists, along with prescriptions from other health care providers.

The study focuses on counties within Indiana because of the unique availability of detailed dispensation data from Indiana's prescription drug monitoring program.

The most widely prescribed opioid is hydrocodone (Vicodin), accounting for 68.93 percent of all opioid prescriptions, followed by oxycodone at 11.74 percent, codeine-containing products at 8.52 percent and fentanyl at 2.62 percent.

Prior research has shown that most abusers report they obtained prescriptions on their own or from friends and relatives who had been prescribed opioids.

The researchers cautioned against temptations to use countywide data to generalize results and "blame" individual providers and inappropriate prescribing practices.

"We must be cautious and work with public health and health care leaders to avoid 'overcorrecting,' unnecessarily restricting the supply of opioids, or inadvertently vilifying or punishing providers who are struggling to meet patients' legitimate clinical needs," Wright said.

Nevertheless, the study points to the importance of working with healthcare provider groups to help them dispense needed medication in ways that meet needs while avoiding potential diversion or misuse, Wright said.


'/>"/>

Contact: Rich Schneider
rcschnei@iu.edu
317-278-4564
Indiana University
Source:Eurekalert  

Related medicine news :

1. Study: Higher rates of diabetes, hypertension, heart disease and stroke found in food desert
2. U-M study: Smarter blood pressure guidelines could prevent many more heart attacks and strokes
3. IU study: Leadership void, not lack of money, slows efforts to address cervical cancer
4. New study: Enterocystoplasty in children with genitourinary abnormalities is safe and effective
5. Mayo Clinic study: Uterine fibroids have significant impact on quality of life, workplace performance
6. Rice U study: Technology, not uninsured patients, driving hospital costs
7. CU Cancer Center study: Young patients with metastatic colorectal cancer at higher risk
8. Study: New medical device extremely effective at preventing HIV in women
9. Penn Medicine study: Proton therapy cuts side effects for pediatric head and neck cancer patients
10. Study: Majority of patients who qualify for lifesaving heart treatment do not receive it
11. Mayo-led study: Drug fails to reduce diarrhea in patients receiving radiation therapy
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Study: Access to health care increases prescription opioid availability and associated abuse
(Date:2/9/2016)... Cambridge, MA (PRWEB) , ... February 09, 2016 ... ... Institute (WCRI) compares the workers’ compensation fee schedule rates and Medicare rates for ... medical services covered in the report, Evaluation of the 2015 Fee Schedule ...
(Date:2/9/2016)... ... February 09, 2016 , ... ... announces today the continuation of the ‘Pay It Forward’ program into 2016. BioPlus ... received at our specialty pharmacy. , “Since our Pay It Forward program ...
(Date:2/9/2016)... , ... February 10, 2016 , ... The Journal ... need to “level the playing field .” , As corresponding author Dr John F. ... use to categorize and diagnose our chronic pain patients. ‘Chronic cancer pain’ and ...
(Date:2/9/2016)... ... February 09, 2016 , ... ... to expand access to affordable hearing aids , increase industry transparency, and ... in the United States. , “For the average consumer, the hearing aid industry ...
(Date:2/9/2016)... ... 2016 , ... Two renowned photographers, Robert Caplin (New York, NY) and Peter ... June 14-19, 2016, hosted by Four Seasons Resort Maui at Wailea as part of ... in 2015, the Maui Photo Expedition workshop will once again consist of ...
Breaking Medicine News(10 mins):
(Date:2/9/2016)... 2016 The leader in accelerated orthodontics, OrthoAccel ... is the recipient of the 2015 Townie Choice Award ... II medical device that speeds up orthodontic tooth movement ... often associated with treatment, AcceleDent was selected by orthodontists ... Orthotown survey of the most reliable and ...
(Date:2/9/2016)... NEW BRUNSWICK, N.J. , Feb. 9, 2016 /PRNewswire/ ... in the RBC Capital Markets Global Healthcare Conference on ... New York City.  Dominic Caruso , Vice President, ... , Worldwide Chairman, Consumer will represent the Company in ... www.investor.jnj.com . --> www.investor.jnj.com . ...
(Date:2/9/2016)... Md. , Feb. 9, 2016  The ... for pharmaceutical professionals developing and manufacturing sterile drug ... Sterile Manufacturing Regulatory Guidance Comparison – With link ... guidance documents issued by the U.S. FDA, the ... Health Organization. --> ...
Breaking Medicine Technology: