密歇根新闻广播 不统一的阿片类药物对密歇根病人造成潜在危险

Michigan has a growing problem with what's called "uncoordinated prescription¹ opioid use," and it's putting hundreds of patients at risk.

"In Michigan we went from 81 deaths in 1999 to 519 deaths in 2013 from opioids," said Maryann Udow-Phillips from the Center for Healthcare Research and Transformation².

A new report from CHRT finds that most opioids are used and prescribed appropriately, but a small number of patients receive numerous prescriptions³ from separate prescribers within a short period of time.

"In 2013, over 600 privately⁴ insured patients in Michigan had filled at least 10 opioid prescriptions from four or more providers in more than three months," said Udow-Phillips.

Udow-Phillips says there is a statewide database physicians can check to see if patients have filled another prescription. She says it needs to be made easier and quicker to use.

Here are some key findings:

In 2013, more than 600 privately insured Michigan patients in CHRT's study had uncoordinated opioid prescriptions, defined as filling at least 10 opioid prescriptions from four or more providers within three months.

In CHRT's study, those 600 patients represent just 0.3% of all patients using opioids, but were often more seriously ill.

Over 60% of patients with uncoordinated opioid prescriptions were diagnosed with cancer, trauma⁵, or palliative care in 2013.

Accidental overdose deaths involving opioids (including prescription drugs and heroin) increased sixfold in Michigan between 1999 and 2013 (from 81 to 519 deaths).

Accidental overdose deaths involving prescription opioids represented 43% of total opioid deaths in 2013.

1 prescription   

n.处方，开药；指示，规定

参考例句：

• The physician made a prescription against sea- sickness for him.医生给他开了个治晕船的药方。
• The drug is available on prescription only.这种药只能凭处方购买。

2 transformation   

n.变化；改造；转变

参考例句：

• Going to college brought about a dramatic transformation in her outlook.上大学使她的观念发生了巨大的变化。
• He was struggling to make the transformation from single man to responsible husband.他正在努力使自己由单身汉变为可靠的丈夫。

3 prescriptions   

药( prescription的名词复数 )； 处方； 开处方； 计划

参考例句：

• The hospital of traditional Chinese medicine installed a computer to fill prescriptions. 中医医院装上了电子计算机来抓药。
• Her main job was filling the doctor's prescriptions. 她的主要工作就是给大夫开的药方配药。

4 privately   

adv.以私人的身份，悄悄地，私下地

参考例句：

• Some ministers admit privately that unemployment could continue to rise.一些部长私下承认失业率可能继续升高。
• The man privately admits that his motive is profits.那人私下承认他的动机是为了牟利。

5 trauma   

n.外伤，精神创伤

参考例句：

• Counselling is helping him work through this trauma.心理辅导正帮助他面对痛苦。
• The phobia may have its root in a childhood trauma.恐惧症可能源于童年时期的创伤。