{"title":"The effect of Prescription Drug Monitoring Programs on county-level opioid prescribing practices and spillovers","authors":"Shishir Shakya, Jane E. Ruseski","doi":"10.1111/coep.12607","DOIUrl":null,"url":null,"abstract":"<p>Most states now legally mandate providers to access the Prescription Drug Monitoring Program (PDMP) database before prescribing controlled substances like opioids. We exploit variation in the adoption of these “must access” mandates between 2010 and 2017 to evaluate their impact on prescribing behavior. We find that counties in “must access” PDMP states have 5.5 fewer retail opioid prescriptions per 100 persons compared to counties in “voluntary access” PDMP states. We find evidence of geographic spillovers in opioid prescribing behavior. Our results underscore the importance recognizing the potential for cross-border shopping when designing interventions to combat opioid misuse.</p>","PeriodicalId":47364,"journal":{"name":"Contemporary Economic Policy","volume":"41 3","pages":"435-454"},"PeriodicalIF":1.9000,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contemporary Economic Policy","FirstCategoryId":"96","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/coep.12607","RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ECONOMICS","Score":null,"Total":0}
引用次数: 1
Abstract
Most states now legally mandate providers to access the Prescription Drug Monitoring Program (PDMP) database before prescribing controlled substances like opioids. We exploit variation in the adoption of these “must access” mandates between 2010 and 2017 to evaluate their impact on prescribing behavior. We find that counties in “must access” PDMP states have 5.5 fewer retail opioid prescriptions per 100 persons compared to counties in “voluntary access” PDMP states. We find evidence of geographic spillovers in opioid prescribing behavior. Our results underscore the importance recognizing the potential for cross-border shopping when designing interventions to combat opioid misuse.
期刊介绍：
Contemporary Economic Policy publishes scholarly economic research and analysis on issues of vital concern to business, government, and other decision makers. Leading western scholars, including three Nobel laureates, are among CEP"s authors. The objectives are to communicate results of high quality economic analysis to policymakers, focus high quality research and analysis on current policy issues of widespread concern, increase knowledge among economists of features of the economy key to understanding the impact of policy, and to advance methods of policy analysis.
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