Plan Type and Opioid Prescriptions for Children in Medicaid
Bibliographic Data
| ID | 9100620 |
|---|---|
| Authors | Jordan Banks (University of Washington), Courtney M Hill (0000-0002-6487-5258, University of Washington), Courtney Hill (0000-0002-7394-6580), Donald L Chi (University of Washington, corresponding author), L Donald (0000-0003-2289-7747) |
| Year | 2021 |
| Volume | 59 |
| Issue | 5 |
| Pages | 386-392 |
| Publication date | 2021-05-01 |
| Peer Reviewed | Yes |
| 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.0000000000001504 |
| PMID | 33528236 |
| OpenAlex | W3128666716 |
| Language | EN |
| Citations received | 1 |
| References cited | 30 |
BACKGROUND: Opioids are generally an inappropriate acute pain management strategy in children, particularly because of the risk for diversion and subsequent misuse and abuse. OBJECTIVES: To examine associations between Medicaid plan type [coordinated care organization (CCO), managed care (MC), fee-for-service (FFS)] and whether a child received an opioid prescription. RESEARCH DESIGN: Secondary analysis of Oregon Medicaid data (January 1, 2016 to December 31, 2017). SUBJECTS: Medicaid-enrolled children ages 0-17 (N=200,169). MEASURES: There were 2 outcomes: whether a child received an opioid prescription from (a) any health provider or (b) from a visit to the dentist. Predictor variables included Medicaid plan type, age, sex, race, and ethnicity. RESULTS: About 6.7% of children received an opioid from any health provider and 1.2% received an opioid from a dentist visit. Children in a CCO were significantly more likely than children in a MC (P<0.01) or FFS (P=0.02) plan to receive an opioid from any health provider. Children in a CCO were also significantly more likely than children in MC or FFS to receive an opioid from a dentist visit (P<0.01). CONCLUSIONS: Pediatric opioid prescriptions vary by plan type. Future efforts should identify reasons why Medicaid-enrolled children in a CCO plan are more likely to be prescribed opioids
Family medicine · Health care · Medicaid · Medical prescription · Opioid · Emergency Medicine · Healthcare professionals’ stress and burnout · Internal Medicine · Medicine · Nursing · Opioid Use Disorder Treatment · Pediatric Pain Management Techniques
| Unique citing works | 1 |
|---|---|
| Citations per year | 0.5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |