Physicians’ Perspectives Regarding Prescription Drug Monitoring Program Use Within the Department of Veterans Affairs: a Multi-State Qualitative Study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-08

AUTHORS

Thomas R. Radomski, Felicia R. Bixler, Susan L. Zickmund, KatieLynn M. Roman, Carolyn T. Thorpe, Jennifer A. Hale, Florentina E. Sileanu, Leslie R. M. Hausmann, Joshua M. Thorpe, Katie J. Suda, Kevin T. Stroupe, Adam J. Gordon, Chester B. Good, Michael J. Fine, Walid F. Gellad

ABSTRACT

BACKGROUND: The Department of Veterans Affairs (VA) has implemented robust strategies to monitor prescription opioid dispensing, but these strategies have not accounted for opioids prescribed by non-VA providers. State-based prescription drug monitoring programs (PDMPs) are a potential tool to identify VA patients' receipt of opioids from non-VA prescribers, and recent legislation requires their use within VA. OBJECTIVE: To evaluate VA physicians' perspectives and experiences regarding use of PDMPs to monitor Veterans' receipt of opioids from non-VA prescribers. DESIGN: Qualitative study using semi-structured interviews. PARTICIPANTS: Forty-two VA primary care physicians who prescribed opioids to 15 or more Veterans in 2015. We sampled physicians from two states with PDMPs (Massachusetts and Illinois) and one without prescriber access to a PDMP at the time of the interviews (Pennsylvania). APPROACH: From February to August 2016, we conducted semi-structured telephone interviews that addressed the following topics regarding PDMPs: overall experiences, barriers to optimal use, and facilitators to improve use. KEY RESULTS: VA physicians broadly supported use of PDMPs or desired access to one, while exhibiting varying patterns of PDMP use dictated by state laws and their clinical judgment. Physicians noted administrative burdens and incomplete or unavailable prescribing data as key barriers to PDMP use. To facilitate use, physicians endorsed (1) linking PDMPs with the VA electronic health record, (2) using templated notes to document PDMP use, and (3) delegating routine PDMP queries to ancillary staff. CONCLUSIONS: Despite the time and administrative burdens associated with their use, VA physicians in our study broadly supported PDMPs. The application of our findings to ongoing PDMP implementation efforts may strengthen PDMP use both within and outside VA and improve the safe prescribing of opioids. More... »

PAGES

1253-1259

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11606-018-4374-1

DOI

http://dx.doi.org/10.1007/s11606-018-4374-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1101381029

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29520747


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh", 
          "id": "https://www.grid.ac/institutes/grid.21925.3d", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA", 
            "Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA", 
            "Center for Research on Healthcare, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Radomski", 
        "givenName": "Thomas R.", 
        "id": "sg:person.01174534511.72", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01174534511.72"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "VA Pittsburgh Healthcare System", 
          "id": "https://www.grid.ac/institutes/grid.413935.9", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Bixler", 
        "givenName": "Felicia R.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "VA Salt Lake City Healthcare System", 
          "id": "https://www.grid.ac/institutes/grid.280807.5", 
          "name": [
            "VA Salt Lake City Healthcare System, Salt Lake City, UT, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Zickmund", 
        "givenName": "Susan L.", 
        "id": "sg:person.0631545017.32", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0631545017.32"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "VA Pittsburgh Healthcare System", 
          "id": "https://www.grid.ac/institutes/grid.413935.9", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Roman", 
        "givenName": "KatieLynn M.", 
        "id": "sg:person.01151220324.68", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01151220324.68"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh", 
          "id": "https://www.grid.ac/institutes/grid.21925.3d", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA", 
            "Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Thorpe", 
        "givenName": "Carolyn T.", 
        "id": "sg:person.01301743521.21", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01301743521.21"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "VA Pittsburgh Healthcare System", 
          "id": "https://www.grid.ac/institutes/grid.413935.9", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hale", 
        "givenName": "Jennifer A.", 
        "id": "sg:person.016212105321.01", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016212105321.01"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "VA Pittsburgh Healthcare System", 
          "id": "https://www.grid.ac/institutes/grid.413935.9", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Sileanu", 
        "givenName": "Florentina E.", 
        "id": "sg:person.01073264770.07", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01073264770.07"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh", 
          "id": "https://www.grid.ac/institutes/grid.21925.3d", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA", 
            "Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hausmann", 
        "givenName": "Leslie R. M.", 
        "id": "sg:person.0661706363.96", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0661706363.96"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh", 
          "id": "https://www.grid.ac/institutes/grid.21925.3d", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA", 
            "Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Thorpe", 
        "givenName": "Joshua M.", 
        "id": "sg:person.01163055447.01", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01163055447.01"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Edward Hines, Jr. VA Hospital", 
          "id": "https://www.grid.ac/institutes/grid.280893.8", 
          "name": [
            "Edward Hines Jr. VA Hospital, Hines, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Suda", 
        "givenName": "Katie J.", 
        "id": "sg:person.0601042140.08", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0601042140.08"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Edward Hines, Jr. VA Hospital", 
          "id": "https://www.grid.ac/institutes/grid.280893.8", 
          "name": [
            "Edward Hines Jr. VA Hospital, Hines, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Stroupe", 
        "givenName": "Kevin T.", 
        "id": "sg:person.01175767204.80", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01175767204.80"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "VA Salt Lake City Healthcare System", 
          "id": "https://www.grid.ac/institutes/grid.280807.5", 
          "name": [
            "VA Salt Lake City Healthcare System, Salt Lake City, UT, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Gordon", 
        "givenName": "Adam J.", 
        "id": "sg:person.0612647575.88", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0612647575.88"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh", 
          "id": "https://www.grid.ac/institutes/grid.21925.3d", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA", 
            "Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA", 
            "Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Good", 
        "givenName": "Chester B.", 
        "id": "sg:person.01024035210.48", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01024035210.48"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh", 
          "id": "https://www.grid.ac/institutes/grid.21925.3d", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA", 
            "Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Fine", 
        "givenName": "Michael J.", 
        "id": "sg:person.0714144652.73", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0714144652.73"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh", 
          "id": "https://www.grid.ac/institutes/grid.21925.3d", 
          "name": [
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA", 
            "Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Gellad", 
        "givenName": "Walid F.", 
        "id": "sg:person.0626621021.68", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0626621021.68"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1111/add.13620", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009900920"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/08897077.2016.1267071", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1012068614"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.2012.196", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023970026"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/pme.12469", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028921222"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/add.13741", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030926309"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11606-016-3631-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032259521", 
          "https://doi.org/10.1007/s11606-016-3631-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/nur.4770180211", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033043652"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/nur.4770180211", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033043652"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejmp1600307", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034972331"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jpain.2014.04.003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039381987"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.sapharm.2016.12.002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042129161"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jsat.2016.07.013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045754026"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1377/hlthaff.2014.1085", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046863659"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4137/sart.s2345", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1078830691"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4137/sart.s2345", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1078830691"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4137/sart.s2345", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1078830691"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/mlr.0000000000000661", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1083852945"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/mlr.0000000000000661", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1083852945"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jamainternmed.2017.0147", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084005954"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.japh.2017.02.018", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084765358"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2105/ajph.2017.304174", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1099965622"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-08", 
    "datePublishedReg": "2018-08-01", 
    "description": "BACKGROUND: The Department of Veterans Affairs (VA) has implemented robust strategies to monitor prescription opioid dispensing, but these strategies have not accounted for opioids prescribed by non-VA providers. State-based prescription drug monitoring programs (PDMPs) are a potential tool to identify VA patients' receipt of opioids from non-VA prescribers, and recent legislation requires their use within VA.\nOBJECTIVE: To evaluate VA physicians' perspectives and experiences regarding use of PDMPs to monitor Veterans' receipt of opioids from non-VA prescribers.\nDESIGN: Qualitative study using semi-structured interviews.\nPARTICIPANTS: Forty-two VA primary care physicians who prescribed opioids to 15 or more Veterans in 2015. We sampled physicians from two states with PDMPs (Massachusetts and Illinois) and one without prescriber access to a PDMP at the time of the interviews (Pennsylvania).\nAPPROACH: From February to August 2016, we conducted semi-structured telephone interviews that addressed the following topics regarding PDMPs: overall experiences, barriers to optimal use, and facilitators to improve use.\nKEY RESULTS: VA physicians broadly supported use of PDMPs or desired access to one, while exhibiting varying patterns of PDMP use dictated by state laws and their clinical judgment. Physicians noted administrative burdens and incomplete or unavailable prescribing data as key barriers to PDMP use. To facilitate use, physicians endorsed (1) linking PDMPs with the VA electronic health record, (2) using templated notes to document PDMP use, and (3) delegating routine PDMP queries to ancillary staff.\nCONCLUSIONS: Despite the time and administrative burdens associated with their use, VA physicians in our study broadly supported PDMPs. The application of our findings to ongoing PDMP implementation efforts may strengthen PDMP use both within and outside VA and improve the safe prescribing of opioids.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s11606-018-4374-1", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1096256", 
        "issn": [
          "0884-8734", 
          "1525-1497"
        ], 
        "name": "Journal of General Internal Medicine", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "8", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "33"
      }
    ], 
    "name": "Physicians\u2019 Perspectives Regarding Prescription Drug Monitoring Program Use Within the Department of Veterans Affairs: a Multi-State Qualitative Study", 
    "pagination": "1253-1259", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "094155bebc069afc5570737b94c09374d9c71954e9876197421facdc4fb263ee"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "29520747"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8605834"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s11606-018-4374-1"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1101381029"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s11606-018-4374-1", 
      "https://app.dimensions.ai/details/publication/pub.1101381029"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T14:02", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000371_0000000371/records_130830_00000005.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs11606-018-4374-1"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11606-018-4374-1'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11606-018-4374-1'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11606-018-4374-1'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11606-018-4374-1'


 

This table displays all metadata directly associated to this object as RDF triples.

230 TRIPLES      21 PREDICATES      46 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s11606-018-4374-1 schema:about anzsrc-for:11
2 anzsrc-for:1117
3 schema:author N224cf5524d754008aded678d007c44e1
4 schema:citation sg:pub.10.1007/s11606-016-3631-4
5 https://doi.org/10.1001/jama.2012.196
6 https://doi.org/10.1001/jamainternmed.2017.0147
7 https://doi.org/10.1002/nur.4770180211
8 https://doi.org/10.1016/j.japh.2017.02.018
9 https://doi.org/10.1016/j.jpain.2014.04.003
10 https://doi.org/10.1016/j.jsat.2016.07.013
11 https://doi.org/10.1016/j.sapharm.2016.12.002
12 https://doi.org/10.1056/nejmp1600307
13 https://doi.org/10.1080/08897077.2016.1267071
14 https://doi.org/10.1097/mlr.0000000000000661
15 https://doi.org/10.1111/add.13620
16 https://doi.org/10.1111/add.13741
17 https://doi.org/10.1111/pme.12469
18 https://doi.org/10.1377/hlthaff.2014.1085
19 https://doi.org/10.2105/ajph.2017.304174
20 https://doi.org/10.4137/sart.s2345
21 schema:datePublished 2018-08
22 schema:datePublishedReg 2018-08-01
23 schema:description BACKGROUND: The Department of Veterans Affairs (VA) has implemented robust strategies to monitor prescription opioid dispensing, but these strategies have not accounted for opioids prescribed by non-VA providers. State-based prescription drug monitoring programs (PDMPs) are a potential tool to identify VA patients' receipt of opioids from non-VA prescribers, and recent legislation requires their use within VA. OBJECTIVE: To evaluate VA physicians' perspectives and experiences regarding use of PDMPs to monitor Veterans' receipt of opioids from non-VA prescribers. DESIGN: Qualitative study using semi-structured interviews. PARTICIPANTS: Forty-two VA primary care physicians who prescribed opioids to 15 or more Veterans in 2015. We sampled physicians from two states with PDMPs (Massachusetts and Illinois) and one without prescriber access to a PDMP at the time of the interviews (Pennsylvania). APPROACH: From February to August 2016, we conducted semi-structured telephone interviews that addressed the following topics regarding PDMPs: overall experiences, barriers to optimal use, and facilitators to improve use. KEY RESULTS: VA physicians broadly supported use of PDMPs or desired access to one, while exhibiting varying patterns of PDMP use dictated by state laws and their clinical judgment. Physicians noted administrative burdens and incomplete or unavailable prescribing data as key barriers to PDMP use. To facilitate use, physicians endorsed (1) linking PDMPs with the VA electronic health record, (2) using templated notes to document PDMP use, and (3) delegating routine PDMP queries to ancillary staff. CONCLUSIONS: Despite the time and administrative burdens associated with their use, VA physicians in our study broadly supported PDMPs. The application of our findings to ongoing PDMP implementation efforts may strengthen PDMP use both within and outside VA and improve the safe prescribing of opioids.
24 schema:genre research_article
25 schema:inLanguage en
26 schema:isAccessibleForFree false
27 schema:isPartOf N6288c371f15d41e9abcb8c94fcde9004
28 N87ef9c5cd29241569ee04610360e2782
29 sg:journal.1096256
30 schema:name Physicians’ Perspectives Regarding Prescription Drug Monitoring Program Use Within the Department of Veterans Affairs: a Multi-State Qualitative Study
31 schema:pagination 1253-1259
32 schema:productId N50f3576caf234cdaa280858078ec17f0
33 N616582a8183743f98700323f0c8a2cb0
34 Na322599871a84337b917e03c36450928
35 Na91554a3723042fc99e81362e3ae4553
36 Nf46c42c403ad460d92485f7c7c1d7f07
37 schema:sameAs https://app.dimensions.ai/details/publication/pub.1101381029
38 https://doi.org/10.1007/s11606-018-4374-1
39 schema:sdDatePublished 2019-04-11T14:02
40 schema:sdLicense https://scigraph.springernature.com/explorer/license/
41 schema:sdPublisher N73c9e6d723444440ab519124fd20f4a7
42 schema:url https://link.springer.com/10.1007%2Fs11606-018-4374-1
43 sgo:license sg:explorer/license/
44 sgo:sdDataset articles
45 rdf:type schema:ScholarlyArticle
46 N14c187923b71438a987c4e438c4b4e2a rdf:first sg:person.01175767204.80
47 rdf:rest Na6b91caf6e4d43ec9c0947bf569d2b35
48 N224cf5524d754008aded678d007c44e1 rdf:first sg:person.01174534511.72
49 rdf:rest N625e60493da641e08cc391d7bf2e62d9
50 N2283be9107b9413098e4adad09df2552 rdf:first sg:person.0601042140.08
51 rdf:rest N14c187923b71438a987c4e438c4b4e2a
52 N4b9fa9143e5a42c78a77d561250fcf2d rdf:first sg:person.0714144652.73
53 rdf:rest Nafd5de5d076048b2afc8d30cd50fd45e
54 N50f3576caf234cdaa280858078ec17f0 schema:name doi
55 schema:value 10.1007/s11606-018-4374-1
56 rdf:type schema:PropertyValue
57 N5cdf5779002f4b639a83918faaf1ba92 rdf:first sg:person.016212105321.01
58 rdf:rest N8c2ca2151c524ddb95a6f9aad945bbef
59 N616582a8183743f98700323f0c8a2cb0 schema:name dimensions_id
60 schema:value pub.1101381029
61 rdf:type schema:PropertyValue
62 N625e60493da641e08cc391d7bf2e62d9 rdf:first N809d6253791740b597e6c2ada141c133
63 rdf:rest N8b51177f0efc4b4faf57e4996838b26f
64 N6288c371f15d41e9abcb8c94fcde9004 schema:volumeNumber 33
65 rdf:type schema:PublicationVolume
66 N6fbea8c83b654899ab5b43799dc235ea rdf:first sg:person.0661706363.96
67 rdf:rest Nbd90eb15a84144ecb0d8539660987ed0
68 N73c9e6d723444440ab519124fd20f4a7 schema:name Springer Nature - SN SciGraph project
69 rdf:type schema:Organization
70 N809d6253791740b597e6c2ada141c133 schema:affiliation https://www.grid.ac/institutes/grid.413935.9
71 schema:familyName Bixler
72 schema:givenName Felicia R.
73 rdf:type schema:Person
74 N84f769dea23d42c08a95bc1a24465240 rdf:first sg:person.01024035210.48
75 rdf:rest N4b9fa9143e5a42c78a77d561250fcf2d
76 N87ef9c5cd29241569ee04610360e2782 schema:issueNumber 8
77 rdf:type schema:PublicationIssue
78 N8b51177f0efc4b4faf57e4996838b26f rdf:first sg:person.0631545017.32
79 rdf:rest Nee9e8df68be14e0eb5e06f468a1abfcb
80 N8c2ca2151c524ddb95a6f9aad945bbef rdf:first sg:person.01073264770.07
81 rdf:rest N6fbea8c83b654899ab5b43799dc235ea
82 Na322599871a84337b917e03c36450928 schema:name nlm_unique_id
83 schema:value 8605834
84 rdf:type schema:PropertyValue
85 Na6b91caf6e4d43ec9c0947bf569d2b35 rdf:first sg:person.0612647575.88
86 rdf:rest N84f769dea23d42c08a95bc1a24465240
87 Na91554a3723042fc99e81362e3ae4553 schema:name pubmed_id
88 schema:value 29520747
89 rdf:type schema:PropertyValue
90 Nafd5de5d076048b2afc8d30cd50fd45e rdf:first sg:person.0626621021.68
91 rdf:rest rdf:nil
92 Nbd90eb15a84144ecb0d8539660987ed0 rdf:first sg:person.01163055447.01
93 rdf:rest N2283be9107b9413098e4adad09df2552
94 Ndc1a44c644a64d2eadcd66ee0ca39178 rdf:first sg:person.01301743521.21
95 rdf:rest N5cdf5779002f4b639a83918faaf1ba92
96 Nee9e8df68be14e0eb5e06f468a1abfcb rdf:first sg:person.01151220324.68
97 rdf:rest Ndc1a44c644a64d2eadcd66ee0ca39178
98 Nf46c42c403ad460d92485f7c7c1d7f07 schema:name readcube_id
99 schema:value 094155bebc069afc5570737b94c09374d9c71954e9876197421facdc4fb263ee
100 rdf:type schema:PropertyValue
101 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
102 schema:name Medical and Health Sciences
103 rdf:type schema:DefinedTerm
104 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
105 schema:name Public Health and Health Services
106 rdf:type schema:DefinedTerm
107 sg:journal.1096256 schema:issn 0884-8734
108 1525-1497
109 schema:name Journal of General Internal Medicine
110 rdf:type schema:Periodical
111 sg:person.01024035210.48 schema:affiliation https://www.grid.ac/institutes/grid.21925.3d
112 schema:familyName Good
113 schema:givenName Chester B.
114 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01024035210.48
115 rdf:type schema:Person
116 sg:person.01073264770.07 schema:affiliation https://www.grid.ac/institutes/grid.413935.9
117 schema:familyName Sileanu
118 schema:givenName Florentina E.
119 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01073264770.07
120 rdf:type schema:Person
121 sg:person.01151220324.68 schema:affiliation https://www.grid.ac/institutes/grid.413935.9
122 schema:familyName Roman
123 schema:givenName KatieLynn M.
124 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01151220324.68
125 rdf:type schema:Person
126 sg:person.01163055447.01 schema:affiliation https://www.grid.ac/institutes/grid.21925.3d
127 schema:familyName Thorpe
128 schema:givenName Joshua M.
129 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01163055447.01
130 rdf:type schema:Person
131 sg:person.01174534511.72 schema:affiliation https://www.grid.ac/institutes/grid.21925.3d
132 schema:familyName Radomski
133 schema:givenName Thomas R.
134 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01174534511.72
135 rdf:type schema:Person
136 sg:person.01175767204.80 schema:affiliation https://www.grid.ac/institutes/grid.280893.8
137 schema:familyName Stroupe
138 schema:givenName Kevin T.
139 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01175767204.80
140 rdf:type schema:Person
141 sg:person.01301743521.21 schema:affiliation https://www.grid.ac/institutes/grid.21925.3d
142 schema:familyName Thorpe
143 schema:givenName Carolyn T.
144 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01301743521.21
145 rdf:type schema:Person
146 sg:person.016212105321.01 schema:affiliation https://www.grid.ac/institutes/grid.413935.9
147 schema:familyName Hale
148 schema:givenName Jennifer A.
149 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016212105321.01
150 rdf:type schema:Person
151 sg:person.0601042140.08 schema:affiliation https://www.grid.ac/institutes/grid.280893.8
152 schema:familyName Suda
153 schema:givenName Katie J.
154 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0601042140.08
155 rdf:type schema:Person
156 sg:person.0612647575.88 schema:affiliation https://www.grid.ac/institutes/grid.280807.5
157 schema:familyName Gordon
158 schema:givenName Adam J.
159 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0612647575.88
160 rdf:type schema:Person
161 sg:person.0626621021.68 schema:affiliation https://www.grid.ac/institutes/grid.21925.3d
162 schema:familyName Gellad
163 schema:givenName Walid F.
164 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0626621021.68
165 rdf:type schema:Person
166 sg:person.0631545017.32 schema:affiliation https://www.grid.ac/institutes/grid.280807.5
167 schema:familyName Zickmund
168 schema:givenName Susan L.
169 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0631545017.32
170 rdf:type schema:Person
171 sg:person.0661706363.96 schema:affiliation https://www.grid.ac/institutes/grid.21925.3d
172 schema:familyName Hausmann
173 schema:givenName Leslie R. M.
174 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0661706363.96
175 rdf:type schema:Person
176 sg:person.0714144652.73 schema:affiliation https://www.grid.ac/institutes/grid.21925.3d
177 schema:familyName Fine
178 schema:givenName Michael J.
179 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0714144652.73
180 rdf:type schema:Person
181 sg:pub.10.1007/s11606-016-3631-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032259521
182 https://doi.org/10.1007/s11606-016-3631-4
183 rdf:type schema:CreativeWork
184 https://doi.org/10.1001/jama.2012.196 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023970026
185 rdf:type schema:CreativeWork
186 https://doi.org/10.1001/jamainternmed.2017.0147 schema:sameAs https://app.dimensions.ai/details/publication/pub.1084005954
187 rdf:type schema:CreativeWork
188 https://doi.org/10.1002/nur.4770180211 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033043652
189 rdf:type schema:CreativeWork
190 https://doi.org/10.1016/j.japh.2017.02.018 schema:sameAs https://app.dimensions.ai/details/publication/pub.1084765358
191 rdf:type schema:CreativeWork
192 https://doi.org/10.1016/j.jpain.2014.04.003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039381987
193 rdf:type schema:CreativeWork
194 https://doi.org/10.1016/j.jsat.2016.07.013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045754026
195 rdf:type schema:CreativeWork
196 https://doi.org/10.1016/j.sapharm.2016.12.002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042129161
197 rdf:type schema:CreativeWork
198 https://doi.org/10.1056/nejmp1600307 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034972331
199 rdf:type schema:CreativeWork
200 https://doi.org/10.1080/08897077.2016.1267071 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012068614
201 rdf:type schema:CreativeWork
202 https://doi.org/10.1097/mlr.0000000000000661 schema:sameAs https://app.dimensions.ai/details/publication/pub.1083852945
203 rdf:type schema:CreativeWork
204 https://doi.org/10.1111/add.13620 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009900920
205 rdf:type schema:CreativeWork
206 https://doi.org/10.1111/add.13741 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030926309
207 rdf:type schema:CreativeWork
208 https://doi.org/10.1111/pme.12469 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028921222
209 rdf:type schema:CreativeWork
210 https://doi.org/10.1377/hlthaff.2014.1085 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046863659
211 rdf:type schema:CreativeWork
212 https://doi.org/10.2105/ajph.2017.304174 schema:sameAs https://app.dimensions.ai/details/publication/pub.1099965622
213 rdf:type schema:CreativeWork
214 https://doi.org/10.4137/sart.s2345 schema:sameAs https://app.dimensions.ai/details/publication/pub.1078830691
215 rdf:type schema:CreativeWork
216 https://www.grid.ac/institutes/grid.21925.3d schema:alternateName University of Pittsburgh
217 schema:name Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
218 Center for Research on Healthcare, Pittsburgh, PA, USA
219 Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA
220 Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
221 rdf:type schema:Organization
222 https://www.grid.ac/institutes/grid.280807.5 schema:alternateName VA Salt Lake City Healthcare System
223 schema:name VA Salt Lake City Healthcare System, Salt Lake City, UT, USA
224 rdf:type schema:Organization
225 https://www.grid.ac/institutes/grid.280893.8 schema:alternateName Edward Hines, Jr. VA Hospital
226 schema:name Edward Hines Jr. VA Hospital, Hines, IL, USA
227 rdf:type schema:Organization
228 https://www.grid.ac/institutes/grid.413935.9 schema:alternateName VA Pittsburgh Healthcare System
229 schema:name Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
230 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...