For instance, some patients may visit multiple doctors due to personal illness factors, long wait times, office hours or location, and specific clinician factors. Recent research is identifying more risk factors for doctor shopping and drug abuse. One recent study found that doctor shopping is becoming increasingly prevalent among post-operative patients of orthopaedic trauma and surgery. This suggests that physicians should be mindful about prescribing pain medications to these people without first checking with other overseeing medical practitioners. Doctor shopping often involves lying, as patients won’t tell their new doctor about their past prescription in order to get prescribed the same amount.

Study published in 2010 found that opioids were responsible for 12.8 percent of all prescriptions involved in multiple physician visits. Benzodiazepines were the next controlled substance prescribed at 4.2 percent, followed by stimulants at 1.4 percent and https://sober-house.org/ anorectic weight-loss medications at 0.9 percent. Prescriptions for controlled substances are reported to the Florida Prescription Drug Monitoring Program (E-FORCSE – Electronic-Florida Online Reporting of Controlled Substance Evaluation Program) database.

Schedule a demo today to learn about NewCrop’s e-prescribe software and how a partnership with NewCrop can add value to your EHR. Long story short, doctor shopping poses huge risks for patients as well as practitioners and the representatives of the software that supports them. Here’s how electronic prescriptions can stop doctor shopping in its tracks and prevent it from occurring in the first place. Graduating from Ursuline College she has completed a twelve-week long intensive in mental health and how to care for the patient population. She recognizes that mental health touches every patient she cares for and has learned that knowledge in this area of care has helped her overall practice on a daily basis. One of the big reasons doctors are “loath to challenge patients” is the stigma sometimes felt by people with a genuine need for some of these prescriptions.

  • If you or someone you love has been accused with prescription fraud in California, it’s important to speak with a criminal defense attorney who is skilled in representing drug cases.
  • Your loved one’s well-being is important and their health needs should always come first.
  • This can occur even if they take the medication as prescribed by their doctor.
  • Some patients will even travel out-of-state to visit doctors and keep their activity a secret.

They may have had a legitimate prescription at one time, but that one has long since run out. Once hooked on the drug, they start doctor shopping to obtain more pills. The statute is most often used when people are accused of seeking prescription opioid pain relievers such as Percocet, Percodan, OxyContin, Roxicodone, Vicodin, Duragesic, and Actiq. However, it can also apply to benzodiazepines such as Valium, Xanax, Halcion, Ativan, and Klonopin. Attempting to procure any medication with an addictive potential can result in criminal charges. People are often charged with prescription fraud after an undercover sting by law enforcement officers.

Generally, referrals are hard to come by unless there’s at least some basic relationship between the physician and patient, and a referral is crucial. Without a referral, seeing a specialist might be difficult or impossible. Additionally, many insurance companies won’t pay for specialists without a referral from a PCP.

Doctor shopping is defined as seeing multiple treatment providers, either during a single illness episode or to procure prescription medications illicitly. According to the available literature, prevalence rates of doctor shopping vary widely, from 6.3 to 56 percent. However, this variability is partially attributable to research methodology, including the study definition of doctor shopping as well as the patient sample. Most U.S. states have created a database that doctors and pharmacists can log in to if they want to check on people who they suspect are too eager for narcotic painkillers.

What Is Double Doctoring?

Doctor shopping, double doctoring, and obtaining overlapping prescriptions present several serious risks. The risk of addiction and overdose has led many doctors to become increasingly cautious about prescribing these medications. Certain states limit the number of pharmacies that a patient can visit within a period of time in order to prevent pharmacy shopping.

However, seeing multiple doctors for the purpose of obtaining additional prescriptions for controlled substances is a felony under Florida law. This systematic review of the literature showed that doctor-shopping is a common phenomenon. The rate of this phenomenon varies among patient populations with different health problems. For opioids, it can be as low as 0.45% among the broad population that uses opioids, or as high as 24% among patients with a specific reason for opioid use, such as recent surgery for nephrolithiasis.

Even though she was only administered a controlled substance once, because she provided the hospital with a fake name, she likely committed prescription fraud. Prescription fraud , which makes it illegal to use fraud, deceit or concealment of a material fact to obtain a controlled substance. Prescription fraud can carry sentences as high as three years in county jail, but sentences can vary based on the facts of the case and the defendant’s criminal history. Trust goes hand in hand with this relationship between PCP and patient. Whereas a brand new physician might listen to a patient’s complaint of persistent, inexplicable pain and become immediately concerned that he or she is doctor shopping for painkillers, a PCP will react differently. Research has shown that having the same primary care physician for a long period of time is highly beneficial.

The information provided on Addictions.com is intended for educational purposes, and is not a substitute for professional medical treatment. •The number of prescribers involved in the overlaps between prescriptions is analysed. The best day of your life is the one on which you decide your life is your own.

In recent years, doctors have also undergone education and training about the dangers of prescribing unneeded medication. Regardless of how it happens, double doctoring makes it difficult for doctors to do their jobs properly. If you have been charged with a crime, such as doctor- or pharmacy-shopping, it can have very serious consequences. That’s why eco sober house review it’s so important that you act quickly in an effort to defend yourself. Multiple comorbid conditions; history of drug/alcohol misuse; younger age; female. As we mentioned above, the penalties for prescription fraud in California can vary, and depending on the facts of your case, it can be possible to see your charges reduced or dismissed entirely.

Table 3. Definitions of doctor-shopping.

They’ve become dependent on a particular controlled substance and need to find ways to obtain more for their own consumption. It’s likely they were prescribed it legitimately at some point, but now their prescription has run out. After becoming addicted, people often begin doctor shopping for additional drugs. According to the National Institute on Drug Abuse , a 2013 study identified doctor shoppers by analyzing opioid prescription records and purchasing habits.

To schedule a free case evaluation and discuss the possible defenses for your case. With more than 35 years of experience, we have seen all types of drug cases and we are familiar with the proceedings that can follow a drug shopping arrest. In this situation, Tom needed pain management and had a legitimate reason for an oxycodone prescription.

Doctor shopping is detrimental for everyone, including those who’ve never doctor shopped. Hagihara A, Tarumi K, Odamaki M, Nobutomo K. A signal detection approach to patient-doctor communication and doctor-shopping behaviour among Japanese patients. This ongoing column is dedicated to the challenging clinical interface between psychiatry and primary care—two fields that are inexorably linked. Law enforcement officers cannot lawfully search a hotel room without a search warrant UNLESS there is a valid exception that exists. Examples of exceptions are that there are exigent circumstances, that the police are in hot pursuit, that the search is consented to, or that the search is incident to a lawful arrest.

Doctor shopping entails the scheduling by patients of office visits with multiple clinicians for the same agenda, either for a continuing illness or to procure prescription drugs illicitly. As expected, the explicit definitions in the literature vary considerably, with a significant proportion focusing on a given illness episode. For example, Lo et al1 define doctor shopping as the changing of doctors without a professional referral during the same illness episode. Hagihara et al2 describe doctor shopping as consulting multiple doctors during the same illness period. Macpherson et al3 define doctor shopping as patient contact with three or more care sites during a single illness.

Doctor Shopping Laws in Tennessee

The problem is that while this medication can bring relief to the diagnosed problem initially, there are risks involved in prolonged usage. If the underlying causes of the symptoms are not properly addressed, it means that over time, the patient will face the same addiction issues that all addicts face. I have personally witnessed a client screaming and rolling around on the ground as if she were dying and demanding Fentanyl – this drug is many more times stronger than morphine and usually only used after surgery. The doctors had investigated her claims, but test after test found nothing physically wrong with her. Addicts can be extremely manipulative; this is how the term doctor shopping evolved. The doctor may be afraid to say ‘no’ because of the fear of being accused of ignoring symptoms or losing a private patient.

what is doctor shopping

Shaffer EG, Moss AH. Physicians’ perceptions of doctor shopping in West Virginia. If you walk out of a California restaurant or bar without paying your bill – “dine and dash” as it is often called – you are committing a crime and could land in jail. California has a specific criminal statute that deals with “dine and dash” situations, though it does not refer to it as … You’re driving after having had a drink or two–or maybe no drinks at all–and are pulled over.

Table 2. Electronic search strategy in PubMed.

Doctor shopping can also refer to the act of seeking a doctor who is known for being generous with medication types and doses. This technique has become more popular with the rise of electronic patient tracking, which helps prevent double prescriptions for the same drug but may allow prescriptions for multiple similar drugs. Millions of Americans suffer addictions to prescription medications – 15 million, in fact – which is more than the combined number of people who reported abusing other drugs like heroin, cocaine, inhalants, and hallucinogens. The first step towards recovering from your addiction is to seek professional help. Doctors can be held liable if they write prescriptions for someone who isn’t their patient.

  • The best day of your life is the one on which you decide your life is your own.
  • If your loved one continually visits multiple doctors for seemingly unrelated issues, there could possibly be a problem.
  • Prescribing time using the electronic system is 600% faster than that of a paper-and-pen system, with time being reduced from 3-5 minutes to 30 seconds.
  • California has a specific criminal statute that deals with “dine and dash” situations, though it does not refer to it as …
  • In other cases, people engage in double doctoring because they want to re-sell medications to obtain money to buy other drugs, support another behavioral addiction, or need or want money for some other purpose.

Pradel et al4 describe doctor shopping as the simultaneous use of several physicians by a patient. Rouby et al5 define doctor shopping as simultaneous consultation with several physicians during the same period. This kind of doctor shopping lacks intention to commit malingering for material gain and is the result of such mental conditions. The existing monitoring programs for controlled substance drugs are cumbersome and time-consuming even at the state level. Because of this, people who are doctor shopping often don’t even have to go outside their home state or town. It is, however, extremely easy for drug addicts or dealers to cross state borders and obtain prescription medications, since there is no communication between states about drug monitoring.

What is Prescription Fraud?

Factors such as a good patient–doctor relationship and a positive patient experience may reduce the rate of doctor-shopping. This means that having received any controlled substance from another doctor, whether or not it is the same one as they are trying to receive from the current doctor, is prohibited. Electronic prescriptions are being used to cope with the illegal dispensing of narcotics . According to a survey conducted by the US Department of Health and Human Services, between 2002 and 2011, there were 25 million people that used prescribed opioids for nonmedical purposes.

In these situations, an officer may try and entrap, or lure a suspect into committing a crime. This is provided that he/she only committed a crime because of the luring or overbearing conduct by the officer. If you’ve noticed that your loved one frequently obtains medication, which can usually be classified as more than one refill a month, this can be a sign of prescription drug abuse. If your loved one continually visits multiple doctors for seemingly unrelated issues, there could possibly be a problem. It’s important to never judge, but to notice the signs of addiction that can be easily spotted. Doctor shoppers will either abuse the medication prescribed or they will sell the drugs in order to get money to help fund their own drug abuse.

Doctor shopping is the practice of obtaining prescription medications, often narcotic painkillers, from multiple physicians. With the rates of pain medication abuse and overdose at alarmingly high levels in recent years, doctor shopping is a major source of concern for physicians and pharmacies everywhere. When people go to fill their prescription at the pharmacy, they may not realize that the pharmacy team can pull up a history of controlled substance fills. This includes all controlled substances filled at different pharmacies and by different doctors.

1) The defendant obtained, or tried to obtain, or received the administration or prescription of, or tried to receive the administration or prescription of a controlled substance. Tried to receive the administration or prescription of a controlled substance. They are drug sellers who obtain drugs by doctor shopping and then resell them to other buyers, illegally. Calls to any general helpline (non-facility specific 1-8XX numbers) for your visit will be answered by a licensed drug and alcohol rehab facility, a paid advertiser on Addictions.com. People who doctor shop may provide their various doctors with false information.

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