Fleming Marc L, Chandwani Hitesh, Barner Jamie C, Weber Stephanie N, Okoro Tony T
Department of Clinical Sciences and Administration, Division of Pharmacy Administration and Public Health, University of Houston College of Pharmacy, Houston, TX 77030, USA.
J Pain Palliat Care Pharmacother. 2013 Jun;27(2):136-42. doi: 10.3109/15360288.2013.788598. Epub 2013 May 20.
Prescription monitoring programs (PMPs) have been purported to be an effective tool to combat prescription drug abuse. However, utilization rates of PMP data by health care providers (e.g., prescribers and pharmacists) is relatively low. The objectives of the study were to describe (1) PMP utilization (e.g., requested reports) by prescribers, pharmacists, and law enforcement for active state PMPs; (2) PMP utilization by health care providers with and without online access; (3) average annual operational costs for PMPs from 2008 to 2009; and (4) PMP requests based on PMP housing authority (law enforcement vs. non-law enforcement [e.g., board of pharmacy]). This was a cross-sectional study employing a Web-based survey. A 16-item questionnaire was e-mailed to the 33 operational state PMP administrators and responses were collected from January to March 2011. Descriptive statistics were used to describe PMP request rates and annual operating costs. The usable survey response rate was 45.5%. Among all authorized users, prescribers had higher mean (±SD) requests per 100,000 population (2198.2 ± 3218.0) compared with pharmacists' requests (268.9 ± 261.2). Online accessibility resulted in higher request rates per 100,000 population (2996.4 ± 3021.5) compared with mail/fax access (14.6 ± 2.8). On average, PMP annual costs were $12,515 ± $14,911 per 100,000 population. In law enforcement-governed PMPs, health care provider utilization was lower compared with PMPs under health or pharmacy boards. Prescriber request rates were higher than pharmacists and online access for providers (e.g., prescribers and pharmacists) resulted in higher request rates per 100,000 population. More research is needed to determine other factors that may be associated with PMP utilization by prescribers and pharmacists.
处方监测项目（PMPs）据称是打击处方药滥用的有效工具。然而，医疗保健提供者（如开处方者和药剂师）对PMP数据的利用率相对较低。该研究的目的是描述：（1）开处方者、药剂师和执法部门对活跃的州PMPs的PMP利用率（如请求报告）；（2）有和没有在线访问权限的医疗保健提供者的PMP利用率；（3）2008年至2009年PMPs的平均年度运营成本；以及（4）基于PMP管理机构（执法部门与非执法部门[如药房委员会]）的PMP请求。这是一项采用基于网络调查的横断面研究。一份包含16个条目的问卷通过电子邮件发送给33个运营州的PMP管理员，并于2011年1月至3月收集回复。描述性统计用于描述PMP请求率和年度运营成本。可用的调查回复率为45.5%。在所有授权用户中，与药剂师的请求（268.9±261.2）相比，开处方者每10万人口的平均（±标准差）请求数更高（2198.2±3218.0）。与邮件/传真访问（14.6±2.8）相比，在线可访问性导致每10万人口的请求率更高（2996.4±3021.5）。平均而言，PMP的年度成本为每10万人口12,515±14,911美元。在由执法部门管理的PMPs中，与卫生或药房委员会管理的PMPs相比，医疗保健提供者的利用率较低。开处方者的请求率高于药剂师，并且提供者（如开处方者和药剂师）的在线访问导致每10万人口的请求率更高。需要更多的研究来确定可能与开处方者和药剂师对PMP的利用率相关的其他因素。
