Current Weather
The Spy FM

Doctors Have Trouble Keeping Up With Painkiller Abusers

Filed by KOSU News in Health.
June 12, 2012

The growing awareness about the abuse of prescription painkillers hasn’t kept the problem from skyrocketing. In 2008, 14,800 people died of an overdose, according to the Centers for Disease Control and Prevention, more than overdose deaths from cocaine and heroin combined.

Prescription drug monitoring programs that allow doctors to track who’s prescribing and dispensing powerful painkillers, such as OxyContin and Vicodin, can help curb patients’ so-called doctor shopping. That’s when people go to lots of doctors to load up on painkiller prescriptions.

But the databases for checking up on patients only work if health care providers use them, and often that’s not happening. Some insurers are taking matters into their own hands, including a big one in Massachusetts that will soon make doctors justify prescriptions for pain pills that exceed a 30-day supply.

More than 40 states have systems in place to monitor prescription drugs, according to the National Alliance for Model State Drug Laws. Typically, dispensing data from pharmacies is uploaded into a centralized database that physicians and other health care providers can query.

But the programs are voluntary, and many clinicians remain unaware of them, according to a recent article published in the New England Journal of Medicine.

There are other difficulties. The data may only be updated once a month. And the systems are often cumbersome to use, a sticking point for busy clinicians.

Utah anesthesiologist Perry Fine, a past president of the American Academy of Pain Medicine, says that it’s in patients’ best interest that their doctors know which drugs they’re taking to ensure proper treatment.

The database in Utah is pretty easy to use, he says. But in many states, that’s not the case. “Because they’re not very functional or accessible or complete, overall utilization hasn’t been very great,” he says. As the state systems evolve, that may change, but for now, “They’re not mainstream.”

And the drug-monitoring systems in some states, such as California, have suffered from cuts in funding.

Still, there’s traction in other states. New York Gov. Andrew Cuomo is expected to sign legislation that would require doctors in the state to prescribe drugs using computers rather than paper, the Associated Press reported. Pharmacists would be required to promptly enter information about painkiller prescriptions into a statewide database, too. [Copyright 2012 Kaiser Health News]

Leave a Reply

5AM to 9AM Morning Edition

Morning Edition

For more than two decades, NPR's Morning Edition has prepared listeners for the day ahead with two hours of up-to-the-minute news, background analysis, commentary, and coverage of arts and sports.

Listen Live Now!

9AM to 10AM The Takeaway

The Takeaway

A fresh alternative in morning news, "The Takeaway" provides a breadth and depth of world, national and regional news coverage that is unprecedented in public media.

View the program guide!

10AM to 11PM On Point

On Point

On Point unites distinct and provocative voices with passionate discussion as it confronts the stories that are at the center of what is important in the world today. Leaving no perspective unchallenged, On Point digs past the surface and into the core of a subject, exposing each of its real world implications.

View the program guide!

Upcoming Events in your area (Submit your event today!)

Streaming audio and podcasts

Stream KOSU on your smartphone

Phone Streaming

SmartPhone listening options on this page are intended for many iPhones, Blackberries, etc. with low-cost software applications available to listen to our full-time web streams, both News on KOSU-1 and Classical on KOSU-2.

Learn more about our complete range of streaming services

We're perfecting the patient experience - Stillwater Medical Center