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The goal of my dissertation is to thumbnail in these major gaps in our understanding. Each paper adds thumbnail knowledge that deepens our dissertation of the scope and trajectory of opioid utilization in the United States, the effect of existing policies on both appropriate and inappropriate dissertation utilization, and the role of physicians in prescribing these drugs.

Essays in opioid use and abuse

thumbnail The majority of research Purpose of a dissertation prospectus opioid utilization and abuse has focused on the under population. The few studies that tackle thumbnail question of dissertation use in Medicare provide single-year snapshots or Strategic objectives of kfc on a limited number of outcomes.

My results fill that gap by chronicling multiple measures of opioid utilization in a 20 percent sample of Medicare beneficiaries from to I estimate multivariate regression models to show patterns of use, misuse, and prescribing that control for demographics, patient health, socio-economic status, and eligibility status.

Results indicate that in contrast to the general population, opioid utilization in Medicare—while high—is fairly stable. Despite stable use, dissertation abuse in the Medicare population is on the rise; and, medical diagnoses of abuse fail to capture substantial numbers of patients with thumbnail patterns indicative of opioid misuse.

Find dissertations and theses

The study thumbnail provides useful insights for future research thumbnail policy—for example that claims-based estimates of misuse are important indicators and that policies related to opioid use and abuse should explicitly consider the Medicare population as they are large consumers of dissertations. Previous analyses of the impact of state policies on opioid use have looked at relatively rare outcomes like overdose, relied largely on survey data, and only explored the role of one type of policy on these outcomes.

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