Overview
The United States is currently undergoing a deadly epidemic, prescription pain killers are taking more lives than motor vehicle accidents, more than cocaine and heroin combined, they are creating an addiction that seems to be growing out of control and law and health officials do not know how to control it. Since 1990 drug overdose rates have tripled in the United States, accounting for nearly 15,000 deaths alone in 2008 (Centers for Disease Control and Prevention [CDC] , 2011). According to the CDC (2011) one hundred people die from overdose every day in the United States. In 2010 alone more than 2 million people used prescription opioids for no medical reasons (CDC, 2011). This is why congress and the United …show more content…
This program lacks the use of theoretical approaches and social and behavioral theoretical strategies. Since the program is strictly voluntary meaning that the providers in each state do not have to participate in the PDMP it is hard to determine what type of theoretical approach the program is taking. Upon doing some research their were some articles that used the Theory of Planned Behavior (TPB) to examine if Pharmacists are more likely to use the PDMP if they perceived it as helpful or good for the patients. Fleming et al. (2014), using thr TPB model concluded that pharmacists who have positive attitudes were twice as likely to use the PDMP. Considering how much little information the PDMP program does show, this program needs some serious work on implementing proper behavioral and social theories in order to help decrease the opioid overdose …show more content…
Realizing that this program is not meant to be implemented at a local or community level but a national one in which providers are the main focus is an important this to remember here. But, what the program is not taking into account the other routes of exposure for opioids. In fact 55% of opioid abusers obtain the drug for free from a friend or relative and that only 17.3% actually get them from their prescriber (CDC, 2011). While monitoring this program, one cannot assume that the program has actually caused any declines in the nation if there is no data on what populations are taking the opioids. It is important to know what type of communities the providers work in or what type of insurance they are accepting. For example people who are on Medicaid are two times more likely to be prescribed opioids than someone who does not have Medicaid as their insurance (CDC, 2011). Usually individuals who are on Medicaid have low income and live in rural regions areas, if the program was able to some who incorporate this information into the system, it would be easier to see if the at risk population death rate has in fact decreased or not (CDC, 2011). A Washington State survey found that 45% of people who died from opioid overdose were