Opioid-prescribing Outcomes of Medicare Beneficiaries Managed by Nurse Practitioners and Physicians
Bibliographic Data
BACKGROUND: Primary care providers are at the center of the opioid epidemic. Whether nurse practitioners (NPs) have different opioid-prescribing outcomes from physicians is not known. OBJECTIVE: To examine opioid-prescribing outcomes of Medicare beneficiaries receiving care from NPs and physicians in primary care. RESEARCH DESIGN: We used Medicare data from 2009 to 2013 and a propensity score-weighted analysis. SUBJECTS: Beneficiaries residing in states in which NPs are able to prescribe controlled substances without physician oversight and who did not have a cancer diagnosis, hospice care, or end-stage renal disease. MEASURES: First, we measured whether beneficiaries received any opioid prescription. Second, for beneficiaries who received opioids, we measured acute ( 100 mg, overlapping prescriptions of opioids >7 days, and overlapping prescriptions of opioids with benzodiazepines >7 days. RESULTS: Beneficiaries managed by NPs were less likely to receive an opioid [odds ratio (OR), 0.87; P 100 mg compared with physician-managed beneficiaries (OR, 1.11; P=0.048). CONCLUSIONS: Findings suggest educational programs and clinical guidelines may require approaches tailored to different providers. Future research should examine the contributing factors of these patterns to ensure high-quality pain management and guide policy makers on NP-controlled substance-prescribing regulations
Controlled substance · Family medicine · Logistic regression · Medical prescription · Medicare Part D · Morphine · Odds · Odds ratio · Opioid · Prescription drug · Emergency Medicine · Healthcare professionals’ stress and burnout · Internal Medicine · Medicine · Nursing · Opioid Use Disorder Treatment · Pain Management and Opioid Use
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| Citations per year | 0.25 |
|---|---|
| Citation span | 2022 - 2022 (1) |
| Highly cited | No |