Opioid Analgesics in Georgia Medicaid: Trends in Potential Inappropriate Prescribing Practices by Demographic Characteristics, 2009-2014

Journal of Managed Care & Specialty Pharmacy
Jayani JayawardhanaMatthew Perri

Abstract

There has been a dramatic rise in the number of opioid prescriptions and opioid overdose deaths in the United States over the past 15 years. Misuse and abuse of opioids is also a growing public health concern in the United States. Medicaid enrollees are more likely to be prescribed opioids and are at higher risk of prescription drug overdose compared with non-Medicaid populations. Despite rising opioid drug overdose deaths in Georgia, prevalence of indicators for potential inappropriate prescribing practices has not been examined to date. To examine trends in the general use of opioids and the prevalence of indicators for potential inappropriate opioid prescribing among the Georgia Medicaid population across various demographic characteristics over time. This study used data from the Georgia individual Medicaid pharmacy claims database from 2009 to 2014. Data sample included 3,562,227 observations (patient prescriptions) representing 401,488 individuals. Outcome measures assessed the trends in the general use of opioids and the indicators of potential inappropriate prescribing practices by providers. These outcome measures were taken from previous expert panels and clinical guidelines (e.g., overlapping prescriptions of opioids...Continue Reading

References

Aug 5, 2008·The Journal of Pain : Official Journal of the American Pain Society·Jennifer Brennan BradenMark D Sullivan
Feb 24, 2015·Journal of Health Care for the Poor and Underserved·Karin A MackChristopher Jones
Jun 15, 2017·Medical Care·Renu K GargGary M Franklin
Jul 24, 2018·Journal of Pharmaceutical Health Services Research : an Official Journal of the Royal Pharmaceutical Society of Great Britain·Jayani JayawardhanaMatthew Perri

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Citations

Nov 8, 2019·Obstetrics and Gynecology·Nevert BadreldinLynn M Yee
Oct 15, 2019·Journal of Addiction Medicine·Amanda J AbrahamBonnie K Lind
Oct 30, 2020·Journal of Managed Care & Specialty Pharmacy·Hyeun Ah Kang, Jamie C Barner

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