Office of Technology, Office of the National Coordinator for Health Information Technology, Washington, DC, USA.
J Gen Intern Med. 2023 Mar;38(4):881-888. doi: 10.1007/s11606-022-07793-x. Epub 2022 Oct 13.
Despite widespread adoption of state prescription drug monitoring programs (PDMPs), it is unclear how often PDMPs are accessed through an electronic health record system (EHR-PDMP integration), or whether efforts to make PDMPs easier to access and use have improved their utility.
To produce national-level estimates on the use of PDMPs among office-based physicians and benefits associated with their use.
We use nationally representative survey data to produce descriptive statistics on PDMP use and associated benefits among office-based physicians in the USA.
1398 office-based physicians who prescribe controlled substances.
We examined physician-reported ease and frequency of PDMP use, and how EHR-PDMP integration affects frequency and ease of use. Multivariate models were used to assess whether characteristics of PDMP use were related to physician-reported benefits such as reduced prescribing of controlled substances and perceived improvements in clinical decision-making.
In 2019, two-thirds of office-based physicians in the USA reported frequent use of their state PDMP and over three-quarters reported they were easy to use. Both frequency and ease of use were positively correlated with PDMP integration status. Respondents who frequently checked their state's PDMP were 8.7 percentage points (95% CI -.4 to 17.8) more likely to report perceived benefits and reported 2.2 (95% CI 1.54 to 2.83) more benefits. Respondents who indicated their PDMP was easy to use were 12.7 percentage points (95% CI .040 to .214) more likely to report perceived benefits and reported 0.94 (95% CI 0.26 to 1.61) more benefits.
Our findings suggest efforts to make PDMPs easier to access and use aided physicians in making informed clinical decisions that may not be captured by reduced prescribing alone. Efforts to further increase frequency and ease of use-including advancing a standards-based approach to PDMP and EHR data interoperability-may further increase the benefit of PDMPs.
尽管州级处方药物监测计划（PDMP）已被广泛采用，但 PDMP 通过电子健康记录系统（EHR-PDMP 集成）的访问频率尚不清楚，也不清楚使 PDMP 更易于访问和使用的努力是否提高了它们的实用性。
生成关于美国门诊医生使用 PDMP 的全国性估计数据，并评估与之相关的益处。
我们使用全国代表性调查数据生成美国门诊医生使用 PDMP 的描述性统计数据以及与之相关的益处。
1398 名开处受控物质的门诊医生。
我们检查了医生报告的 PDMP 使用的便利性和频率，以及 EHR-PDMP 集成如何影响使用的频率和便利性。使用多变量模型评估 PDMP 使用的特征是否与医生报告的益处相关，例如减少开具受控物质的处方和认为临床决策有所改善。
在 2019 年，美国有三分之二的门诊医生报告经常使用其所在州的 PDMP，超过四分之三的医生报告 PDMP 易于使用。使用的频率和便利性均与 PDMP 集成状态呈正相关。经常检查所在州 PDMP 的受访者更有可能报告认为有收益，且报告的收益多 8.7 个百分点（95%CI -.4 至 17.8）。表示 PDMP 易于使用的受访者更有可能报告认为有收益，且报告的收益多 12.7 个百分点（95%CI.040 至.214）。
我们的研究结果表明，使 PDMP 更易于访问和使用的努力有助于医生做出知情的临床决策，而这些决策可能不仅仅通过减少处方来实现。进一步增加 PDMP 的使用频率和便利性的努力——包括推进基于标准的 PDMP 和 EHR 数据互操作性——可能会进一步提高 PDMP 的益处。
