Episode #114 High Truths on Drugs and Addiction with Dr. Jason Doctor on Death Diary Research

Episode #114 High Truths on Drugs and Addiction with Dr. Jason Doctor on Death Diary Research

High Truths on Drugs and Addiction

Death Diaries is what I call the  research I did with Dr. Jason Doctor. We reviewed data on every single person who died of an unintentional medical overdose and compared the drugs on autopsy to what was prescribed to the person. This list of medications were diaries that lead to death.  The research changed my life as a doctor and how I prescribe medications. Dr. Jason Doctor is an Associate Professor in the School of Pharmacy and Faculty at the Leonard D. Schaeffer Center for Health Policy and Economics at the University of Southern California. His research program centers on decision-making in healthcare. Dr. Doctor specializes in applying behavioral economic methods within health and medicine and current leads a multi-site federally-funded multi-site cluster randomized clinical trial that evaluates behavioral economic approaches to improve physician adherence to comparatively effective treatments.  In other federally-funded research, Dr. Doctor has developed Bayesian decision algorithms to identify errors in blood panels to improve patient diagnosis. He also maintains a research program in understanding preferences for health from a behavioral economic perspective. He has extended the quality-adjusted life year (QALY) preference model to accommodate preference for helping others in medical need (social preferences) and has developed mathematical representations in QALY calculations that accommodate cognitive limitations people have in abiding by rational principles in decision making. JAMA Letter: Effect of Prescriber Notification of Patient's Fatal Overdose on Opioid Prescribing

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1:29:5127 Feb 2023

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Death Diaries: Unveiling the Hidden Dangers of Prescription Drugs

I wanted to look at everything that I potentially could be responsible as a doctor. So I wanted everything that people die of- that is labeled because of me- and looked at their prescriptions and see if there was a match, and that really was eye-opening.

Ever wondered what really happens behind the scenes with prescription medications? In this gripping episode of 'High Truths on Drugs and Addiction', Dr. Roneet Lev takes us through her groundbreaking research, which she aptly calls 'Death Diaries'. By analyzing data from every person who died of an unintentional medical overdose, Dr. Lev uncovered shocking discrepancies between the drugs prescribed and those found during autopsies. This eye-opening study has profoundly changed her approach to prescribing medications. Joining Dr. Lev is Dr.

Jason Doctor, an Associate Professor at the University of Southern California's School of Pharmacy and a specialist in healthcare decision-making. Together, they delve into the complex psychology behind physician prescribing habits and the murky waters of chronic pain management. Dr. Doctor shares his expertise on how social norms influence doctors' decisions and discusses innovative behavioral economic methods aimed at improving physician adherence to effective treatments. This episode is a must-listen for anyone concerned about the prescription drug overdose epidemic.

It sheds light on the often-overlooked risks associated with medications and underscores the urgent need for healthcare providers to take responsibility for their prescribing practices. Through engaging dialogue and raw insights, Dr. Lev and Dr. Doctor offer potential solutions to this pressing issue, making this episode both informative and deeply thought-provoking. Tune in to discover how you can play a role in preventing prescription drug overdoses in your community.

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