Journal article
Provider beliefs on the Barriers and Facilitators to Prescription Monitoring Programs and Mandated Use
Substance use & misuse, Vol.55(1), pp.1-11
01/01/2020
DOI: 10.1080/10826084.2019.1648512
PMID: 31426693
Abstract
Background: Underutilization of Prescription monitoring programs (PMP), especially in states where participation is voluntary could limit their impact against opioid epidemic. Objectives: To (1) examine PMP use among Iowa healthcare providers (HCPs); (2) identify factors prompting and impeding PMP use, and (3) assess beliefs toward mandating PMP use. Methods: A cross-sectional survey of Iowa HCPs was conducted using a 12-item questionnaire. Survey domains include demographics, current PMP utilization, conditions and barriers associated with PMP use, and perspectives on use mandates. Analyses were based on descriptive statistics, proportional odds and poisson regression models. Results: There were 704 usable responses. Almost all respondents were registered with the PMP with dentists having the lowest rate (p < .001). Nurse practitioners consulted the PMP for the largest proportion of prescriptions, while pharmacists and dentists used significantly less (p < .001). Lack of time was the most common reported barrier impeding PMP use. Red flag behaviors and unfamiliarity with patient were the most common conditions prompting PMP review. HCPs estimated their use of the PMP would significantly increase if integrated into their electronic health records (p < .001). Almost half of HCPs held the opinion that PMP use should never be mandated, although inter-provider variation was present with nurse practitioners most amenable to mandates. Discussion: HCPs displayed variation in PMP use. EMR integration appears to be a strategy for increasing PMP use. There was resistance to mandating PMP use for all controlled substances prescribed and dispensed, with some interest in mandates for new patients only or new controlled substance prescriptions only.
Details
- Title: Subtitle
- Provider beliefs on the Barriers and Facilitators to Prescription Monitoring Programs and Mandated Use
- Creators
- Jeff Reist - University of IowaJoseph Frazier - University of IowaAlecia Rottingham - University of IowaMackenzie Welsh - University of IowaBrahmendra Reddy Viyyuri - University of IowaMatthew Witry - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Substance use & misuse, Vol.55(1), pp.1-11
- DOI
- 10.1080/10826084.2019.1648512
- PMID
- 31426693
- NLM abbreviation
- Subst Use Misuse
- ISSN
- 1082-6084
- eISSN
- 1532-2491
- Publisher
- Taylor & Francis
- Comment
- Test development: Prescription Monitoring Program Utilization Survey
- Language
- English
- Date published
- 01/01/2020
- Academic Unit
- Pharmacy Practice and Science; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984360158002771
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