Drug overprescription in nursing homes: an empirical evaluation of administrative data

The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care
Magdalena A Stroka

Abstract

A widely discussed shortcoming of long-term care in nursing homes for the elderly is the inappropriate or suboptimal drug utilization, particularly of psychotropic drugs. Using administrative data from the largest sickness fund in Germany, this study was designed to estimate the effect of institutionalization on the drug intake of the frail elderly. Difference-in-differences propensity score matching techniques were used to compare drug prescriptions for the frail elderly who entered a nursing home with those who remained in the outpatient care system; findings suggest that nursing home residents receive more doses of antipsychotics, antidepressants, and analgesics. The potential overprescription correlates with estimated drug costs of about €87 million per year.

References

Oct 15, 1992·Annals of Internal Medicine·M H BeersJ C Beck
Jul 16, 1992·The New England Journal of Medicine·J AvornD Fields
Jan 1, 1986·Social Science & Medicine·C Williams
Aug 1, 1985·Hospital & Community Psychiatry·H M WaxmanE A Carner
Jun 10, 2000·Journal of Health Economics·G Gowrisankaran, R J Town
Jan 10, 2001·Journal of Health Economics·F A SloanS Y Chou
Nov 9, 2001·European Journal of Clinical Pharmacology·S RuthsH A Nygaard
May 31, 2002·The New England Journal of Medicine·Jack NeedlemanKatya Zelevinsky
Apr 25, 2003·The Gerontologist·Dana B Mukamel, William D Spector
Jan 30, 2004·British Journal of Clinical Pharmacology·P A RoutledgeK W Woodhouse
Jan 27, 2005·The Annals of Pharmacotherapy·Matthew PerriRobyn A Lorys
Mar 17, 2005·JAMA : the Journal of the American Medical Association·Daniela FialováUNKNOWN AdHOC Project Research Group
Jan 26, 2006·British Journal of Clinical Pharmacology·G ZiereB H Ch Stricker
Feb 16, 2006·International Journal of Geriatric Psychiatry·Hanna-Mari AlanenEsa Leinonen
Feb 22, 2007·Journal of Gerontological Nursing·Myonghwa Park, Jane Hsiao-Chen Tang
Jan 9, 2008·The American Journal of Geriatric Pharmacotherapy·Emily R HajjarJoseph T Hanlon
May 20, 2008·Journal of Health Economics·Hsien-Ming LienJin-Tan Liu
Mar 12, 2011·Human Psychopharmacology·Majda AzermaiRobert Vander Stichele
Feb 7, 2012·Journal of Health Economics·Rachel M WernerDaniel Polsky
Dec 4, 2012·Journal of Health Economics·David C GrabowskiVincent Mor

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Citations

May 18, 2017·Health Economics·Arndt R Reichert, Magdalena A Stroka
Jun 9, 2019·Pharmacy : Journal of Pharmacy, Education and Practice·Lisa M Kalisch EllettElizabeth E Roughead
Oct 28, 2019·Journal of General Internal Medicine·Yolanda W H PendersUNKNOWN Swiss Medical End-of-Life Decisions Study Group

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