Doctor Shopping Behavior and the Diversion of Prescription Opioids:

Substance Abuse: Research and Treatment

RonaldSimeone¹ 

关键词: Doctor shopping;    prescription opioids;    prescription diversion;    prescription opioid diversion;   

DOI  :  10.1177/1178221817696077

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objectives:“Doctor shopping” as a means of prescription opioid diversion is examined. The number and percentage of prescriptions and morphine-equivalent milligrams diverted in this manner are estimated by state and molecule for the period 2008-2012.Methods:Eleven billion prescriptions with unique patient, doctor, and pharmacy identifiers were used to construct diversion “events” that involved between 1 and 6 unique doctors and between 1 and 6 unique pharmacies. Diversion thresholds were established based on the probability of each contingency.Results:A geographically widespread decline occurred between 2008 and 2012. The number of prescriptions diverted fell from approximately 4.30 million (1.75% of all prescriptions) in 2008 to approximately 3.37 million (1.27% of all prescriptions) in 2012, and the number of morphine-equivalent milligrams fell from approximately 6.55 metric tons (2.95% of total metric tons) in 2008 to approximately 4.87 metric tons (2.19% of total metric tons) in 2012.Conclusions:Divers...

【 授权许可】

CC BY