Sanders Amber N, Eassey John M, Stogner John M, Miller Bryan Lee
Pennsylvania State University, State College, PA, USA.
Missouri State University, Springfield, MO, USA.
J Prim Care Community Health. 2016 Jul;7(3):175-9. doi: 10.1177/2150131916628462. Epub 2016 Feb 4.
Most research examining patient-based drug diversion neglects to assess physician deception directly. We attempt to determine if motives for deception are linked to success, and, similarly, if any health, demographic, or substance use history characteristics of the patients are predictive of being able to successfully deceive a physician.
Stratified random sampling was utilized to obtain a sample of 2349 young adults. Respondents completed a survey detailing their substance use histories and whether they had ever deceived a physician for medication. Ninety-three of these respondents reported attempting to deceive a physician for a medication and compose the analytic sample for the study.
Of the 93 young adults who reported having attempted to deceive a physician for pharmaceuticals (4.0% of the general sample), 64 (68.8%) were successful. This included 24 only seeking medications for their own use, 9 only for financial purposes, and 31 with both motives. Respondents who reported recreationally using pharmaceuticals in the past were more likely to report successful attempts at obtaining a prescription compared with respondents without a history of abuse. With respect to demographic characteristics of the respondents, only race/ethnicity distinguished between successful attempts and failure.
Although a rare occurrence in the overall sample, significant correlates of successful deception did emerge. Respondents motivated to obtain a prescription in order to sell it to others were overwhelmingly likely to succeed in their pursuit to deceive as compared with respondents who sought prescriptions for their own abuse. Successful deceivers were also more likely to have been legitimately prescribed medication in the past. Successful respondents were more likely to be Caucasian than any other race/ethnicity.
大多数基于患者的药物转移研究都忽略了直接评估医生受骗情况。我们试图确定欺骗动机是否与成功相关，同样地，患者的任何健康、人口统计学或物质使用史特征是否能预测其成功欺骗医生的能力。
采用分层随机抽样方法选取了2349名年轻成年人作为样本。受访者完成了一项调查，详细说明了他们的物质使用史以及是否曾为获取药物欺骗过医生。其中93名受访者报告曾试图欺骗医生获取药物，构成了本研究的分析样本。
在报告曾试图欺骗医生获取药物的93名年轻成年人中（占总样本的4.0%），64人（68.8%）成功了。其中24人仅为自己获取药物，9人仅出于经济目的，31人两者皆有。与无药物滥用史的受访者相比，过去有药物娱乐性使用史的受访者更有可能报告成功获取处方的尝试。关于受访者的人口统计学特征，只有种族/民族在成功尝试和失败之间存在差异。
尽管在总体样本中这种情况很少见，但确实出现了成功欺骗的显著相关因素。与为自己滥用而寻求处方的受访者相比，出于将处方出售给他人的动机而获取处方的受访者极有可能成功实施欺骗行为。成功的欺骗者过去也更有可能曾被合法开具过药物处方。成功的受访者比其他任何种族/民族的人更有可能是白人。
