Key result
Must-access PDMPs and initial prescription limits reduced opioid utilization among patients with work-related injuries, but had little impact on temporary disability duration at 12 months.
Why the study?
The study was conducted to examine the effects of must-access prescription drug monitoring programs and regulations limiting the duration of initial opioid prescriptions on opioid utilization and pain-related medical care in work-related injuries.
Do must-access PDMPs and limits on initial opioid prescriptions reduce opioid utilization and affect disability duration in patients with work-related injuries?
Observational
Do must-access PDMPs and limits on initial opioid prescriptions reduce opioid utilization and affect disability duration in patients with work-related injuries?
Must-access PDMPs and initial prescription limits effectively reduce opioid utilization among workers with injuries but do not significantly affect the duration of temporary disability.
PDMP mandates were associated with lower opioid use in injured workers; leaves open optimal policy design for occupational pain management.
We examine the effects of must-access prescription drug monitoring programs (PDMPs) and recent regulations limiting the duration of initial opioid prescriptions on care received by patients with work-related injuries, focusing on opioid utilization and medical care related to pain management. We find that must-access PDMPs contributed to declines in opioid utilization, while regulations limiting duration of initial opioid prescriptions had little effect on whether workers receive opioids, but reduced opioid use among those with prescriptions. We find some evidence that must-access PDMPs affected utilization of other medical care—most interestingly, in light of high opioid use, towards non-opioid pain medication and interventional pain management services for neurologic spine pain. We find that must-access PDMPs and limits on initial prescriptions had little impact on the duration of temporary disability benefits captured at 12 months of maturity.
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Neumark et al. (2022) conducted an observational in Work-related injuries. Must-access prescription drug monitoring programs (PDMPs) and regulations limiting initial opioid prescriptions was evaluated on Opioid utilization and duration of temporary disability benefits. Must-access PDMPs and initial prescription limits reduced opioid utilization among patients with work-related injuries, but had little impact on temporary disability duration at 12 months.
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