Achieving Reductions in Opioid Dispensing: A Qualitative Comparative Analysis of State-Level Efforts to Improve Prescribing.

ABSTRACT:

Objective

To determine whether any combinations of state-level public health activities were necessary or sufficient to reduce prescription opioid dispensing.

Design

We examined 2016-2019 annual progress reports, 2014-2019 national opioid dispensing data (IQVIA), and interview data from states to categorize activities. We used crisp-set Qualitative Comparative Analysis to determine which program activities, individually or in combination, were necessary or sufficient for a better than average decrease in morphine milligram equivalent (MME) per capita.

Setting

Twenty-nine US state health departments.

Participants

State health departments implementing the Centers for Disease Control and Prevention's Prevention for States (PfS) program.

Main outcome

Combina

SUBMITTER: Underwood NL 

PROVIDER: S-EPMC9892169 | biostudies-literature | 2023 Mar-Apr 01

REPOSITORIES: biostudies-literature