Evaluating the Effects of Opioid Prescribing Policies on Patient Outcomes in a Safety-net Primary Care Clinic.

ABSTRACT:

Background

After decades of liberal opioid prescribing, multiple efforts have been made to reduce reliance upon opioids in clinical care. Little is known about the effects of opioid prescribing policies on outcomes beyond opioid prescribing.

Objective

To evaluate the combined effects of multiple opioid prescribing policies implemented in a safety-net primary care clinic in San Francisco, CA, in 2013-2014.

Design

Retrospective cohort study and conditional difference-in-differences analysis of nonrandomized clinic-level policies.

Patients

273 patients prescribed opioids for chronic non-cancer pain in 2013 at either the treated (n=151) or control clinic (n=122) recruited and interviewed in 2017-2018.

Interventions

Policies establishing standard protocols fo

SUBMITTER: Rowe CL 

PROVIDER: S-EPMC8738839 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature