Prescription Opioid Use and Satisfaction With Care Among Adults With Musculoskeletal Conditions

In the current payment paradigm, reimbursement is partially based on patient satisfaction scores. We sought to understand the relationship between prescription opioid use and satisfaction with care among adults who have musculoskeletal conditions. We performed a cross-sectional study using nationall...

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Bibliographic Details
Published in:Annals of family medicine 2018-01, Vol.16 (1), p.6-13
Main Authors: Sites, Brian D, Harrison, Jordon, Herrick, Michael D, Masaracchia, Melissa M, Beach, Michael L, Davis, Matthew A
Format: Article
Language:English
Subjects:
Adults
Demographic aspects
Drug therapy
Finance
Medical economics
Methods
Musculoskeletal diseases
Opioids
Original Research
Pain management
Patient satisfaction
Primary health care
Time
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Summary:In the current payment paradigm, reimbursement is partially based on patient satisfaction scores. We sought to understand the relationship between prescription opioid use and satisfaction with care among adults who have musculoskeletal conditions. We performed a cross-sectional study using nationally representative data from the 2008-2014 Medical Expenditure Panel Survey. We assessed whether prescription opioid use is associated with satisfaction with care among US adults who had musculoskeletal conditions. Specifically, using 5 key domains of satisfaction with care, we examined the association between opioid use (overall and according to the number of prescriptions received) and high satisfaction, defined as being in the top quartile of overall satisfaction ratings. Among 19,566 adults with musculoskeletal conditions, we identified 2,564 (13.1%) who were opioid users, defined as receiving 1 or more prescriptions in 2 six-month time periods. In analyses adjusted for sociodemographic characteristics and health status, compared with nonusers, opioid users were more likely to report high satisfaction with care (odds ratio = 1.32; 95% CI, 1.18-1.49). According to the level of use, a stronger association was noted with moderate opioid use (odds ratio = 1.55) and heavy opioid use (odds ratio = 1.43) (
ISSN:1544-1709
1544-1717
DOI:10.1370/afm.2148