When you purchase through links on our site , we may take in an affiliate commission . Here ’s how it works .
One way to curb the large and growing problem of prescription drug abuse in the U.S. would be requiring doc to employ database to record and track patients ' prescriptions , expert say .
For example , a medico about to write a prescription drug for the painkiller OxyContin could reckon up the patient in the database to see whether the drug had late been prescribed by another physician .
" They can aid us hear addiction at an early stage , " say Dr. Norman Wetterau , a specialist in addiction at the University of Rochester School of Medicine in New York , look up to databases calledprescription drug monitoring programs . " You identify patients much earlier , before they overdose , before they get arrested , before these problems grow . "
However , issues remain over how the programs should be administer . Currently , 37 states have ethical drug drug monitoring computer programme , but most do not require doctors to practice them .
And some Doctor of the Church want use of the databases to remain voluntary , saying that it is not the role of doctor to police drug use of goods and services .
This week , the American Medical Association announced its opposition to any federal legislation that would " want physicians to check a prescription medicine drug monitoring programme . "
Ultimately , fixing theprescription drug abuse problemwill require a " multi - prong result , " the AMA said . Public teaching , as well as change in physicians ' interactions with patients may alleviate the problem , experts say .
grow problem
Prescription drug abuse is an increase problem .
About 16 million people in the U.S. age 12 and older say that they have strike a prescription pain sensation stand-in , ataractic drug , stimulant or tranquilizing for nonmedical intention within the past twelvemonth , concord to a 2009 internal survey .
Between 1999 and 2007 , the numeral of accidental opioid overdoses in the U.S. increased from about 3,000 to 12,000 . And over the last decade , there has been a quintuple increase in the number of masses enter nitty-gritty abuse programs foropioid dependency , according to a recent subject area .
Part of the reason for the rise in abuse is the increased availability of these medication . Between 1991 and 2010 , prescription foropioid painkillersincreased from 75.5 million to 209.5 million , while prescription for stimulants increase from 5 million to 45 million , grant to the National Institute on Drug Abuse .
In addition , some say doc are under increasing pressure sensation to give in to patients ' wishes . infirmary and practice session use patient gratification surveys , among other measures , to judge doctors , and MD are being taught to take patient ' desire into account when prescribing drug , said Dr. Stuart Gitlow , president of the American Society of Addiction Medicine .
" If you ’ve got a patient satisfaction study , and a patient come requesting a soporiferous or tranquilising , " the easiest way of life to satisfy them is to give it to them , Gitlow say .
amend databases
This year , New York became the first land to mandate that doctors check prescription drug monitoring databases before they prescribe a drug .
Dr. Robert Hughes , president of the Medical Society of the State of New York , articulate the authorisation turn wellness care professionals into law enforcement officials .
" It ’s an inefficient system , it ’s time - consume , and it make the providers away from unmediated patient role upkeep , " Hughes said .
Wetterau agreed that checking the database for every prescription is onerous , but aver doctors should check at some point .
" It would n’t be unreasonable to see the first time the affected role sees you , and perchance every six months or every year , " Wetterau state . But doctors should not be forced by law to apply the database , he say .
" If you do n’t hold back cholesterin , we do n’t have you arrested , " Wetterau said .
Rather , check the databases should be one measure that insurance companies can expend to decide whether to keep a doctor in their system .
train patient and doctor
medico should n’t pay the only duty for fighting the commonwealth ’s prescription medicine drug trouble , expert say .
" It ’s very easy to blame the medico or the dentists … or whoever ’s order these medications , but there ’s plenty of inculpation to go around , " Hughes said .
Patients do n’t think of these medication as dangerous , like guns or intoxicant , and do n’t take the responsibleness toproperly storethem , Hughes suppose . " These medicine are being left in the household in a regardless way , " Hughes said , where they can be accessed by children and even thieves .
" We finger very strongly that didactics of the world must be a component , " in fixing the trouble , Hughes enunciate .
Gitlow say its important that doctors use scientific knowledge , rather than patient expiation , as the driving factor in determine whether a patient take prescription drug .
" My end when I ’m handle a patient role is not for the patient role to be slaked , " Gitlow read . " My end is for the patient to be skilful . "
" Often those two are one and the same , but not always . peculiarly not in circumstances in which they ’re essay medications that they think serve them get upright , but we know comfortably , " he said .
Pass it on : Electronic databases that track patients ' drug prescription may help ease prescription drug abuse , but wo n’t solve the job alone .
