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How well do doctors know their patients? Evidence from a mandatory access prescription drug monitoring program

dc.contributor.authorBuchmueller, Thomas C.
dc.contributor.authorCarey, Colleen M.
dc.contributor.authorMeille, Giacomo
dc.date.accessioned2020-09-02T15:02:05Z
dc.date.availableWITHHELD_13_MONTHS
dc.date.available2020-09-02T15:02:05Z
dc.date.issued2020-09
dc.identifier.citationBuchmueller, Thomas C.; Carey, Colleen M.; Meille, Giacomo (2020). "How well do doctors know their patients? Evidence from a mandatory access prescription drug monitoring program." Health Economics 29(9): 957-974.
dc.identifier.issn1057-9230
dc.identifier.issn1099-1050
dc.identifier.urihttps://hdl.handle.net/2027.42/156491
dc.description.abstractMany opioid control policies target the prescribing behavior of health care providers. In this paper, we study the first comprehensive state‐level policy requiring providers to access patients’ opioid history before making prescribing decisions. We compare prescribers in Kentucky, which implemented this policy in 2012, to those in a control state, Indiana. Our main difference‐in‐differences analysis uses the universe of prescriptions filled in the two states to assess how the information provided affected prescribing behavior. We find that a significant share of low‐volume providers stopped prescribing opioids altogether after the policy was implemented, though this change accounted for a small share of the reduction in total volume. The most important margin of response was to prescribe opioids to fewer patients. Although providers disproportionately discontinued treating patients whose opioid histories showed the use of multiple providers, there were also economically meaningful reductions for patients without multiple providers and single‐use acute patients.
dc.publisherStata Press
dc.publisherWiley Periodicals, Inc.
dc.subject.otherphysician behavior
dc.subject.otherprescription drug monitoring programs
dc.subject.otheropioid prescribing
dc.titleHow well do doctors know their patients? Evidence from a mandatory access prescription drug monitoring program
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbsecondlevelEconomics
dc.subject.hlbsecondlevelMedicine (General)
dc.subject.hlbsecondlevelStatistics and Numeric Data
dc.subject.hlbtoplevelBusiness and Economics
dc.subject.hlbtoplevelHealth Sciences
dc.subject.hlbtoplevelScience
dc.subject.hlbtoplevelSocial Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/156491/3/hec4020_am.pdfen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/156491/2/hec4020.pdfen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/156491/1/hec4020-sup-0001-Supplementaary_data.pdfen_US
dc.identifier.doi10.1002/hec.4020
dc.identifier.sourceHealth Economics
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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