Doctors Who are Warned Against Over Prescription May Not Be Listening
The over prescription of drugs like Oxycontin, Percocet or Xanax have led to countless painkiller and benzodiazepine addictions. The prescription abuse problem in the United States has skyrocketed over the last few years with overdose deaths having quadrupled in the last fifteen years.
However, despite the overwhelming data that prescription abuse is a serious problem in this country, many doctors are still prescribing large amounts of the drugs. Some are not changing their prescribing practices even if the patient experiences an overdose and are also not responding to warnings by the U.S government or the public.
As a way to determine what an effective warning to doctors would be, a research team led by Adam Sacarny of the Mailman School of Public Health at Columbia University in New York City decided to track doctors who received letters warning them that they were prescribing too much of a certain painkiller or benzodiazepine.
In order to conduct the study, the research team looked to locate doctors who were prescribing more than their neighboring peers. Once these doctors were located, the team monitored their prescription practices after they were sent a letter from Medicare stating the problem of their over prescription. Despite receiving the letter, the prescribing practices did not cease. This was interesting to the researchers because in the past, letters from Medicare comparing local vaccinations had helped to bring up the amount of vaccinations patients were receiving from a doctor that was falling behind to his peers.
A total of 1,525 doctors were sent the letters warning them that they were prescribing more narcotic painkillers or benzodiazepines than other doctors. The doctors that were singled out to receive a letter because they were prescribing over 400% more painkillers and benzodiazepines than other nearby physicians. Unfortunately, the letters from Medicare did not seem very effective. In fact, the research team witnessed no significant change at all.
While the letters may have worked in the past for other issues, it is clear that a clearer message will be needed in order to safely bring down the amount of narcotics that are being prescribed to patients throughout the country.