OBJECTIVE: To use fundamental population health and @entity1 Centered Medical Home guidelines to create an effective intervention that would decrease the quantity of inappropriate @entity1288 controlled release (CR) prescriptions within an uninsured population. DESIGN: This was a prospective interventional study. @entity1 , @entity1 : @entity1 seen in the newly formed University of Florida Community Health and Family Medicine Department Total Care Clinic, for chronic @entity158 . This clinic was designed to serve the uninsured @entity1 of Jacksonville, FL. INTERVENTIONS: A structured, step-wise @entity158 management protocol was introduced and implemented, and an improved Controlled Substance User Agreement was created and implemented. Pharmacists and primary care providers collaborated on care. MAIN OUTCOME MEASURE(S): The primary study outcome measures were the number of @entity1288 CR prescriptions over an 8-month period. RESULTS: At the initiation of the program, the authors averaged over 40 @entity1288 CR prescriptions per month. After 3 months, the number of prescriptions dropped to an average of 10 per month, a 75 percent decrease. More importantly, the number of @entity1288 CR tablets saw a corresponding 75 percent drop from over 2,500 tablets per month to approximately 600 per month. Of course, the authors were concerned that the reduction of @entity1288 CR may lead to increases in the use of other opioids. However, trends for @entity1287 / @entity1443 also showed a reduction in total usage as well as all other long-acting opioids. In addition, @entity1 satisfaction did not change significantly, and no significant complaints from @entity1 regarding this specific change were received. CONCLUSIONS: By implementing criteria for @entity1288 CR prescribing in an innovative, comprehensive, and unified @entity1 -centered practice model, the authors saw a significant decrease in the number of @entity1288 CR tablets prescribed per month and also a @entity393 per month.

Successful interventions in decreasing XXXX CR prescriptions within an underserved population.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'PATIENTS', 'Patient', 'PARTICIPANTS'] @entity1288 :: ('MESH:D010098', 'Chemical') :: ['oxycodone'] @entity1287 :: ('MESH:D006853', 'Chemical') :: ['hydrocodone'] @entity158 :: ('MESH:D010146', 'Disease') :: ['nonmalignant pain', 'pain'] @entity393 :: ('MESH:D034381', 'Disease') :: ['decrease in total prescriptions'] @entity1443 :: ('MESH:D000082', 'Chemical') :: ['acetaminophen']
@entity1288 :: (MESH:D010098,Chemical) :: ['oxycodone']
