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首页> 外文期刊>Substance Abuse Treatment, Prevention, and Policy >Assessing the impact of Indiana legislation on opioid-based doctor shopping among Medicaid-enrolled pregnant women: a regression analysis
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Assessing the impact of Indiana legislation on opioid-based doctor shopping among Medicaid-enrolled pregnant women: a regression analysis

机译：评估印第安纳州立法对药品报告孕妇的阿片类药物购物的影响：回归分析

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States have passed various legislative acts in an attempt to reduce opioid prescribing and corresponding doctor shopping, including prescription drug monitoring programs. This study seeks to determine the association between two state-based interventions enacted in Indiana and the level of doctor shopping among Medicaid-enrolled pregnant women. Indiana Medicaid claims data over the period of January 2014 to March 2019 were used in a regression model to determine the longitudinal change in percentage of pregnant women engaged in doctor shopping based on passage of Indiana Administrative Code Title 884 in 2014 and Public Law 194 in 2018. The primary reasons for prescribing were also identified. There were 37,451 women that had both pregnancy and prescription opioid claims over the time horizon. Of these, 2130 women met the criteria for doctor shopping. Doctor shopping continued to increase over the time between the passage of the two interventions but decreased after passage of Public Law 194. The decrease in doctor shopping among Medicaid-enrolled pregnant women after passage of Public Law 194 points to the importance of addressing this issue across a broad set of healthcare professionals including nurse practitioners and physician assistants. It is also possible that the potential punitive component in the Law for non-compliance played a role.
机译：各国通过了各种立法行为，试图减少阿片类药物处方和相应的医生购物，包括处方药监测计划。本研究旨在确定印第安纳州印第安纳颁布的两个国家干预措施之间的关联，以及医疗补充孕妇的医生购物水平。印第安纳医疗补助2019年1月至2019年3月的数据库被用于回归模型，以确定2014年印第安纳州行政代码标题884和2018年的公法行为博士学位博士购物的孕妇百分比纵向变化。还确定了处方的主要原因。在时间范围内，有37,451名患有怀孕和处方阿片类药物索赔。其中，2130名女性符合医生购物的标准。两次干预措施的通过但在公法通过后，博士购物继续增加，但在公法后，194年。在公共法院通过后，医疗报价孕妇的医生购物减少了194指出了解决这个问题的重要性一套广泛的医疗专业人士，包括护士从业者和医师助理。对于不合规性法律的潜在惩罚性分量也可能发挥作用。

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