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Unexplained Variation Across Us Nursing Homes In Antipsychotic Prescribing Rates., Yong Chen, Becky Briesacher, Terry Field, Jennifer Tjia, Denys Lau, Jerry Gurwitz
Unexplained Variation Across Us Nursing Homes In Antipsychotic Prescribing Rates., Yong Chen, Becky Briesacher, Terry Field, Jennifer Tjia, Denys Lau, Jerry Gurwitz
Jennifer Tjia
BACKGROUND: Serious safety concerns related to the use of antipsychotics have not decreased the prescribing of these agents to nursing home (NH) residents. We assessed the extent to which resident clinical characteristics and institutional prescribing practice were associated with antipsychotic prescribing.
METHODS: Antipsychotic prescribing was assessed for a nationwide, cross-sectional population of 16 586 newly admitted NH residents in 2006. We computed facility-level antipsychotic rates based on the previous year's (2005) prescribing patterns. Poisson regressions with generalized estimating equations were used to identify the likelihood of resident-level antipsychotic medication use in 2006, given 2005 facility-level prescribing pattern and NH resident …