Counter-Point
Staying Honest When Policy Changes Backfire
Bibliographic Data
| ID | 9097100 |
|---|---|
| Authors | Christine Y Lu (0000-0002-8227-9177, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, corresponding author), Gregory Simon (0000-0002-4245-1825, Kaiser Permanente Washington Health Research Institute, Seattle, WA), GREGORY E SIMON (0000-0003-2859-5467, Kaiser Permanente Washington Health Research Institute), Stephen B Soumerai (0000-0001-6811-2496, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, corresponding author) |
| Year | 2018 |
| Volume | 56 |
| Issue | 5 |
| Pages | 384-390 |
| Publication date | 2018-05-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000897 |
| PMID | 29634631 |
| OpenAlex | W2797321915 |
| Language | EN |
| Citations received | 3 |
| References cited | 32 |
Despite the good intentions of the Food and Drug Administration (FDA), many drug warnings are ineffective or have unintended consequences, particularly if the media exaggerates the messages and scares the public. The controversial 2003 to 2004 FDA warnings on youth suicidality associated with antidepressant use are a case in point. In a 10-year interrupted time series (ITS) analysis in 11 health plans, we found that the warnings and hyped media coverage led to substantial reductions in antidepressant use (declines in antidepressant use and overall care corroborated in several studies), and small, visible increases in emergency room and inpatient poisonings with psychotropic drugs. In a gross misunderstanding of the method, Dr Stone calls ITS, “an intuition based upon false analogies, fallacious assumptions and analytical error.” We demonstrate visually using published studies that the ITS method is one of the oldest (hundreds of years) and strongest quasi-experimental study designs, and that the alternative data analyses proposed by Dr Stone do not have rates (denominators), nor baselines, so the measures of change are invalid
Antidepressant · Environmental health · Food and drug administration · Intuition · Media coverage · Political science · Psychiatry · Sociology · Unintended consequences · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Health Policy Implementation Science · Medicine · Mental Health Research Topics · Psychology
Effect of government and commercial warnings on reducing prescription misuse
Counter-Point
The Effects of the Transition From Medicaid to Medicare on Health Care Use for Adults With Mental Illness
Unintended Consequences of a Medicaid Prescription Copayment Policy
Medicare Part D is Associated With Reducing the Financial Burden of Health Care Services in Medicare Beneficiaries With Diagnosed Diabetes
Changes in Use of Lipid-lowering Medications Among Black and White Dual Enrollees With Diabetes Transitioning From Medicaid to Medicare Part D Drug Coverage
Unintended Impacts of a Medicaid Prior Authorization Policy on Access to Medications for Bipolar Illness
Near Real-time Surveillance for Consequences of Health Policies Using Sequential Analysis
| Citations per year | 0.38 |
|---|---|
| Citation span | 2018 - 2021 (4) |
| Highly cited | No |