The Association Between Opioid-Related Industry Payments and Opioid Prescribing at the Individual and Ecological Level in Pennsylvania

Authors

John Henri King, MPHc, Thomas Jefferson UniversityFollow
Russell K. McIntire, PhD, MPH, Thomas Jefferson UniversityFollow
Brandon George, PhD, MS, Thomas Jefferson UniversityFollow

Document Type

Presentation

Publication Date

6-22-2018

Comments

Presentation: 4:36

Abstract

Objective: to understand how industry payments related to opioid products are associated with opioid prescribing in Pennsylvania.

Methods: we merged the Open Payments data, Medicare Part D public use file, and Dartmouth Hospital Atlas of Health Care Hospital Service Areas from 2015 to analyze relationships between opioid related payments and opioid prescribing. We used a binomial regression model to investigate individual-level trends and a log-linear model to investigate Hospital Service Area-level trends. We mapped the distribution of opioid-related payments in Pennsylvania using GIS software.

Results: One additional payment to a physician was associated with 4.2% higher opioid-prescribing rate (OR = 1.0418, 95% CI 1.0416-1.0420, Chi-Square(1) = 122678, p

Conclusions: We found a positive association between opioid-related payments to physicians and opioid prescribing. Policy makers and administrators should consider revising rules related to pharmaceutical company marketing tactics and promote judicious opioid prescribing.

Recommended Citation

King, MPHc, John Henri; McIntire, PhD, MPH, Russell K.; and George, PhD, MS, Brandon, "The Association Between Opioid-Related Industry Payments and Opioid Prescribing at the Individual and Ecological Level in Pennsylvania" (2018). Master of Public Health Capstone Presentations. Presentation 261.
https://jdc.jefferson.edu/mphcapstone_presentation/261

Language

English