Primary care appointment time impacts prescribing of opioids

Primary care appointment time impacts prescribing of opioids

(HealthDay)—Even within an individual physician's schedule, physician behavior for opioid prescribing varies by the appointment timing, according to a study recently published online in JAMA Network Open.

Hannah T. Neprash, Ph.D., from the University of Minnesota in Minneapolis, and Michael L. Barnett, M.D., from Harvard University in Boston, used data from electronic health record systems in primary care offices in the United States to analyze primary care appointments occurring in 2017 for patients with a new painful condition.

The researchers reported that based on 678,319 primary care appointments (642,262 patients; 61.1 percent women) with 5,603 , the likelihood that an appointment resulted in an opioid prescription increased by 33 percent as the workday progressed (from first to third appointment, 4.0 percent; 19th to 21st appointment, 5.3 percent). The likelihood of an opioid prescription further increased by 17 percent as appointments ran behind schedule (zero to nine minutes late, 4.4 percent; ≥60 minutes late, 5.2 percent). The same pattern was not present for a prescription of nonsteroidal anti-inflammatory drugs or referral to physical therapy.

"Appointment timing that contributes to could be adversely associated with physician decision-making and could have widespread relevance for and quality improvement efforts, if similar patterns exist in other clinical scenarios," the authors write.

One author reported being retained as an expert witness in lawsuits involving opioid manufacturers and distributors.


Explore further

Physicians more likely to prescribe opioids later in the day

More information: Abstract/Full Text
Journal information: JAMA Network Open

Copyright © 2019 HealthDay. All rights reserved.

Citation: Primary care appointment time impacts prescribing of opioids (2019, October 8) retrieved 14 October 2019 from https://medicalxpress.com/news/2019-10-primary-impacts-opioids.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
2 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more