Public health detailing-A successful strategy to promote judicious opioid analgesic prescribing

J.A. Kattan, E. Tuazon, D. Paone, D. Dowell, L. Vo, J.L. Starrels, C.M. Jones and H.V. Kunins

American Journal of Public Health, 2016, vol. 106, issue 8, 1430-1438

Abstract: Objectives. To evaluate knowledge and prescribing changes following a 2-month public health detailing campaign (one-to-one educational visits) about judicious opioid analgesic prescribing conducted among health care providers in Staten Island, New York City, in 2013. Methods. Three detailing campaign recommendations were (1) a 3-day supply of opioids is usually sufficient for acute pain, (2) avoid prescribing opioids for chronic noncancer pain, and (3) avoid high-dose opioid prescriptions. Evaluation consisted of a knowledge survey, and assessing prescribing rates and median day supply per prescription. Prescribing data from the 3-month period before the campaign were compared with 2 sequential 3-month periods after the campaign. Results. Among 866 health care providers visited, knowledge increased for all 3 recommendations (P

Keywords: narcotic analgesic agent, attitude to health; chronic pain; clinical practice; dose response; human; medical education; New York; organization and management; pain; prescription; public health service; statistics and numerical data, Analgesics, Opioid; Chronic Pain; Dose-Response Relationship, Drug; Drug Prescriptions; Education, Medical, Continuing; Health Knowledge, Attitudes, Practice; Humans; New York City; Pain; Practice Patterns, Physicians'; Public Health Practice (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303274_1

DOI: 10.2105/AJPH.2016.303274

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