The Prescription Behavior Surveillance System (PBSS) was created in 2011 to track the rates of prescriptions for controlled substances and the misuse of those drugs. Prescription drug monitoring programs (PDMPs) are state level programs that collect data on opioid prescribing, average daily dosage, and more that are used in the PBSS. The 11 states that were included represent approximately 38% of the U.S. population, and included two that border Indiana. PBSS data show a decline in opioid prescribing rates in all 11 states from 2010-2016. The data from these states could be applicable for usage in other states in the future to implement PDMPs. Additionally, this may help public health policymakers to recognize changes in the use/misuse of controlled prescription drugs, which could allow for intervention through amended or new opioid-related policies.
Repeated encounters refer to patients who are frequent users of emergency department (ED) services for opioid withdrawal, opioid poisoning and overdose. This study used 2012-2017 data from four Indiana hospital systems and linked encounters for patients across different settings and systems. The study found that, in 2012, 9 percent of opioid-related ED encounters were repeat patients, while by 2017, 34.3 percent were repeat patients. This increase in prevalence of opioid-related encounters may be attributable to policy changes, increased provider awareness of the epidemic or increased availability and use of naloxone. Potential target areas for interventions include ED settings and across the health care system.
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