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Home > Co-prescription network reveals social dynamics of opioid doctor shopping.

Perry, Brea L and Yang, Kai Cheng and Kaminski, Patrick and Odabas, Meltem and Park, Jaehyuk and Martel, Michelle and Oser, Carrie B and Freeman, Patricia R and Ahn, Yong-Yeol and Talbert, Jeffery (2019) Co-prescription network reveals social dynamics of opioid doctor shopping. PLoS ONE , 14 , (10) , e0223849. https://doi.org/10.1371/journal.pone.0223849.

URL: https://journals.plos.org/plosone/article?id=10.13...

This paper examines network prominence in a co-prescription network as an indicator of opioid doctor shopping (i.e., fraudulent solicitation of opioids from multiple prescribers). Using longitudinal data from a large commercially insured population, we construct a network where a tie between patients is weighted by the number of shared opioid prescribers. Given prior research suggesting that doctor shopping may be a social process, we hypothesize that active doctor shoppers will occupy central structural positions in this network. We show that network prominence, operationalized using PageRank, is associated with more opioid prescriptions, higher predicted risk for dangerous morphine dosage, opioid overdose, and opioid use disorder, controlling for number of prescribers and other variables. Moreover, as a patient's prominence increases over time, so does their risk for these outcomes, compared to their own average level of risk. Results highlight the importance of co-prescription networks in characterizing high-risk social dynamics.


Item Type
Article
Publication Type
International, Open Access, Article
Drug Type
Opioid
Intervention Type
General / Comprehensive, Treatment method, Harm reduction
Source
Date
October 2019
Identification #
https://doi.org/10.1371/journal.pone.0223849
Page Range
e0223849
Volume
14
Number
10
EndNote

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