التفاصيل البيبلوغرافية
| العنوان: |
Effects of comprehensive medication review on opioid overuse among medicare beneficiaries. |
| المؤلفون: |
Sim, Yongbo, Hausberger, Clayton F, Wang, Junling |
| المصدر: |
Journal of Pharmaceutical Health Services Research; Mar2024, Vol. 15 Issue 1, p1-9, 9p |
| مصطلحات موضوعية: |
MEDICATION reconciliation, MEDICATION therapy management, MEDICARE beneficiaries, PROPENSITY score matching, OPIOIDS, BENZODIAZEPINES, OPIOID epidemic |
| مستخلص: |
Objectives This study examined the effects of the comprehensive medication review of Medicare medication therapy management programs on opioid overuse among Medicare beneficiaries. Methods This retrospective study analyzed Medicare data from 2016 to 2017. The intervention group included Medicare beneficiaries who newly received comprehensive medication review in 2017; the control group referred to patients who met the general eligible criteria for the medication therapy management program but did not enroll in 2016 or 2017. Propensity score matching was performed to increase characteristic compatibility between the intervention and control groups. Three measures of opioid overuse were analyzed: use of opioids at a high dosage, use of opioids from multiple providers, and concurrent use of opioids and benzodiazepines. The effects of comprehensive medication review on opioid overuse were analyzed with a multivariate logistic regression with an interaction term between the receipt of comprehensive medication review and the year 2017. Key Findings The proportion of concurrent use of opioids and benzodiazepines declined at a greater rate among the recipients (2.21%) than non-recipients (1.55%) of the comprehensive medication review. In the adjusted analysis, the odds ratio of no concurrent use of opioids and benzodiazepines was 5% higher (1.05; 95% confidence interval = 1.02–1.09) among recipients than non-recipients. These significant findings were not found for the other two measures of opioid overuse. Conclusions Comprehensive medication review is associated with reduced concurrent use of opioids and benzodiazepines among Medicare beneficiaries. Such service should be incorporated into the current approaches for addressing the opioid epidemic. [ABSTRACT FROM AUTHOR] |
|
Copyright of Journal of Pharmaceutical Health Services Research is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
