Rules and values: A coordinated regulatory and educational approach to the public health crises of chronic pain and addiction

J.G. Katzman, G.D. Comerci, M. Landen, L. Loring, S.M. Jenkusky, S. Arora, S. Kalishman, L. Marr, C. Camarata, D. Duhigg, J. Dillow, E. Koshkin, D.E. Taylor and C.M.A. Geppert

American Journal of Public Health, 2014, vol. 104, issue 8, 1356-1362

Abstract: Chronic pain and opioid addiction are 2 pressing public health problems, and prescribing clinicians often lack the skills necessary to manage these conditions.Our study sought to address the benefits of a coalition of an academic medical center pain faculty and government agencies in addressing the high unintentional overdose death rates in New Mexico. New Mexico's 2012-2013 mandated chronic pain and addiction education programs studied more than 1000 clinicians. Positive changes were noted in precourse and postcourse surveys of knowledge, self-efficacy, and attitudes. Controlled substance dispensing data from the New Mexico Board of Pharmacy also demonstrated safer prescribing. The total morphine and Valium milligram equivalents dispensed have decreased continually since 2011. There was also a concomitant decline in total drug overdose deaths.

Keywords: narcotic analgesic agent, analgesia; article; chronic pain; drug overdose; human; medical education; methodology; opiate addiction; prescription; public health; United States, Analgesics, Opioid; Chronic Pain; Drug Overdose; Drug Prescriptions; Education, Medical, Continuing; Humans; New Mexico; Opioid-Related Disorders; Pain Management; Public Health (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.301881_4

DOI: 10.2105/AJPH.2014.301881

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