'Dear Doctor' letters reduce opioid scripts up to a year after receipt, a new study found.
"While this does not answer all of our questions, it's an encouraging finding because we might have expected the 'fear of being monitored' to disappear relatively quickly," Zhang said."The reduction in opioids over 1 year is substantial."
"Our intention was not to shame the doctors or to blame them for the event," Doctor told Medscape."This is why we did not suggest the physician may be responsible. We also invited them to join us in helping fight this problem. We believed this would help them resolve any tension created by the letter and would let them know they were an important part of the clinical community.
Doctor said LA County, San Diego County, the city of Baltimore, and the state of Kentucky are among several jurisdictions in the United States that have mandated similar letters. He said he favored the adoption of this approach by public health agencies as opposed to law enforcement agencies. Adam Sacarny, PhD, an assistant professor in the Department of Health Policy and Management at the Mailman School of Public Health at Columbia University, in New York City, ran two studies for the Centers for Medicare & Medicaid Services that involved letters to practitioners."Behavioral science–informed letters clearly can change prescribing behavior, and, per this new study, the effects can last for a while," Sacarny said."But not all letters move the needle.
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