More States Should Regulate Pain Management Clinics to Promote Public Health
Since 2000, annual US deaths from poisonings associated with prescription opioid pain relievers (OPRs) have steadily increased, with nearly 19 000 in 2014.1 Addiction to OPRs may also lead to illicit drug use for some persons, resulting in an even greater public health burden.2 As a result, states h...
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| Veröffentlicht in: | American journal of public health (1971) 2017-02, Vol.107 (2), p.240-243 |
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| creator | Rutkow, Lainie Vernick, Jon S Alexander, G Caleb |
| description | Since 2000, annual US deaths from poisonings associated with prescription opioid pain relievers (OPRs) have steadily increased, with nearly 19 000 in 2014.1 Addiction to OPRs may also lead to illicit drug use for some persons, resulting in an even greater public health burden.2 As a result, states have implemented a variety ofpolicies intended to minimize harms associated with OPR misuse and diversion. Heroin deaths increased slightly in Florida in 20 12, but the decline in OPR deaths was approximately 10-fold greater than this increase.5 Other work observed that the largest decreases in OPR prescribing and use were among prescribers and patients with the highest baseline levels, respectively.6 In addition, Kennedy-Hendricks et al. found that enforcement activity accompanying Florida's pill mill law, including regional strike forces, was critical to reductions in deaths.7 FUTURE OPPORTUNITIES Prescription drug monitoring programs have received significantly more attention than pill mill laws from researchers and the media, yet pill mill laws- opposed by some interest groups and simply not introduced in many states-fill an important gap with their unique targeting of high-risk prescribing environments while minimizing impact on legitimate users. |
| doi_str_mv | 10.2105/AJPH.2016.303568 |
| format | Article |
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Heroin deaths increased slightly in Florida in 20 12, but the decline in OPR deaths was approximately 10-fold greater than this increase.5 Other work observed that the largest decreases in OPR prescribing and use were among prescribers and patients with the highest baseline levels, respectively.6 In addition, Kennedy-Hendricks et al. found that enforcement activity accompanying Florida's pill mill law, including regional strike forces, was critical to reductions in deaths.7 FUTURE OPPORTUNITIES Prescription drug monitoring programs have received significantly more attention than pill mill laws from researchers and the media, yet pill mill laws- opposed by some interest groups and simply not introduced in many states-fill an important gap with their unique targeting of high-risk prescribing environments while minimizing impact on legitimate users.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2016.303568</identifier><identifier>PMID: 28075647</identifier><identifier>CODEN: AJPHDS</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject>AJPH s ; Cancer ; Clinics ; Controlled substances ; Drug overdose ; Drug use ; Drugs ; Fines & penalties ; Government ; Health Law ; Health Policy ; Humans ; Injury/Emergency Care/Violence ; Narcotics ; Objectives ; Pain Clinics - legislation & jurisprudence ; Pain management ; Pain Management - standards ; Pharmacists ; Prescription drugs ; Public health ; Public Health - legislation & jurisprudence ; Public Health - standards ; United States</subject><ispartof>American journal of public health (1971), 2017-02, Vol.107 (2), p.240-243</ispartof><rights>Copyright American Public Health Association Feb 2017</rights><rights>American Public Health Association 2017 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-7d59d42952454bc7046639b9c6f9e0a72a0392ff078e9f94189db705f44051c3</citedby><cites>FETCH-LOGICAL-c424t-7d59d42952454bc7046639b9c6f9e0a72a0392ff078e9f94189db705f44051c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5227936/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5227936/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27868,27926,27927,53793,53795</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28075647$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rutkow, Lainie</creatorcontrib><creatorcontrib>Vernick, Jon S</creatorcontrib><creatorcontrib>Alexander, G Caleb</creatorcontrib><title>More States Should Regulate Pain Management Clinics to Promote Public Health</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>Since 2000, annual US deaths from poisonings associated with prescription opioid pain relievers (OPRs) have steadily increased, with nearly 19 000 in 2014.1 Addiction to OPRs may also lead to illicit drug use for some persons, resulting in an even greater public health burden.2 As a result, states have implemented a variety ofpolicies intended to minimize harms associated with OPR misuse and diversion. Heroin deaths increased slightly in Florida in 20 12, but the decline in OPR deaths was approximately 10-fold greater than this increase.5 Other work observed that the largest decreases in OPR prescribing and use were among prescribers and patients with the highest baseline levels, respectively.6 In addition, Kennedy-Hendricks et al. found that enforcement activity accompanying Florida's pill mill law, including regional strike forces, was critical to reductions in deaths.7 FUTURE OPPORTUNITIES Prescription drug monitoring programs have received significantly more attention than pill mill laws from researchers and the media, yet pill mill laws- opposed by some interest groups and simply not introduced in many states-fill an important gap with their unique targeting of high-risk prescribing environments while minimizing impact on legitimate users.</description><subject>AJPH s</subject><subject>Cancer</subject><subject>Clinics</subject><subject>Controlled 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Health</addtitle><date>2017-02</date><risdate>2017</risdate><volume>107</volume><issue>2</issue><spage>240</spage><epage>243</epage><pages>240-243</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPHDS</coden><abstract>Since 2000, annual US deaths from poisonings associated with prescription opioid pain relievers (OPRs) have steadily increased, with nearly 19 000 in 2014.1 Addiction to OPRs may also lead to illicit drug use for some persons, resulting in an even greater public health burden.2 As a result, states have implemented a variety ofpolicies intended to minimize harms associated with OPR misuse and diversion. Heroin deaths increased slightly in Florida in 20 12, but the decline in OPR deaths was approximately 10-fold greater than this increase.5 Other work observed that the largest decreases in OPR prescribing and use were among prescribers and patients with the highest baseline levels, respectively.6 In addition, Kennedy-Hendricks et al. found that enforcement activity accompanying Florida's pill mill law, including regional strike forces, was critical to reductions in deaths.7 FUTURE OPPORTUNITIES Prescription drug monitoring programs have received significantly more attention than pill mill laws from researchers and the media, yet pill mill laws- opposed by some interest groups and simply not introduced in many states-fill an important gap with their unique targeting of high-risk prescribing environments while minimizing impact on legitimate users.</abstract><cop>United States</cop><pub>American Public Health Association</pub><pmid>28075647</pmid><doi>10.2105/AJPH.2016.303568</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | Open Access: PubMed Central; Education Source (EBSCOhost); MEDLINE; PAIS Index; Business Source Complete; Alma/SFX Local Collection |
| subjects | AJPH s Cancer Clinics Controlled substances Drug overdose Drug use Drugs Fines & penalties Government Health Law Health Policy Humans Injury/Emergency Care/Violence Narcotics Objectives Pain Clinics - legislation & jurisprudence Pain management Pain Management - standards Pharmacists Prescription drugs Public health Public Health - legislation & jurisprudence Public Health - standards United States |
| title | More States Should Regulate Pain Management Clinics to Promote Public Health |
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