In:
Health Services Research, Wiley, Vol. 56, No. 6 ( 2021-12), p. 1245-1251
Abstract:
To quantify discrepancies between opioid prescribing and dispensing via the percentage of patients with Electronic Medical Record (EMR) prescriptions who subsequently filled the prescription within 90 days, defined as congruence, and compared opioid congruence with related medications. Data sources Deidentified data from the IBM MarketScan Explorys Claims‐EMR Dataset. Study design In this retrospective, observational study, we examined congruence for commonly prescribed controlled substances—opioids, stimulants, and benzodiazepines. Congruence was stratified by age group and sex. Data collection/extraction methods Continuously enrolled adults aged 18‐64 years with an EMR encounter (excluding inpatient settings) and ≥ 1 prescription for selected classes between 1/1/2016 and 10/2/2017. Principal findings During the study period, 1,353,478 adults had ≥1 EMR encounter. Patients with stimulants prescriptions had the highest congruence (83%) corresponding to 7151 claims for 8,635 EMR prescriptions, followed by opioids (66%; 62,766/95,690) and benzodiazepines (64%; 30,181/47,408). Chi‐square testing showed congruence differed by age group within opioids ( P 〈 .0001) and benzodiazepines ( P 〈 .0001) and was higher among females within benzodiazepines ( P 〈 .0001). Conclusions These findings demonstrate that relying on claims data alone for opioid prescribing measures might underestimate actual prescribing magnitude by as much as one‐third in these data. Combined EMR and claims data can help future research better understand characteristics associated with congruence or incongruence between prescribing and dispensing.
Type of Medium:
Online Resource
ISSN:
0017-9124
,
1475-6773
DOI:
10.1111/1475-6773.13673
Language:
English
Publisher:
Wiley
Publication Date:
2021
detail.hit.zdb_id:
2078493-4
