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A study of antipsychotic drug use in nursing homes: Epidemiologic evidence suggesting misuse

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  • Ray, W.A.
  • Federspiel, C.F.
  • Schaffner, W.

Abstract

We reviewed 384,326 prescriptions for 5,902 Medicaid patients residing continuously for one year in 173 Tennessee nursing homes. Of these patients, 43 per cent received antipsychotic drugs; 9 percent were chronic recipients (received at least 365 daily doses per year). Of the 1,580 physicians who cared for these patients, 42 per cent prescribed anti-psychotic medication. Physicians with large nursing home practices (10 or more patients) prescribed 81 per cent of the total antipsychotic medication, and were usually family practitioners (78 per cent) and in rural practice (47 per cent). As nursing home practice size increased, doctors prescribed more drug per patient (p

Suggested Citation

  • Ray, W.A. & Federspiel, C.F. & Schaffner, W., 1980. "A study of antipsychotic drug use in nursing homes: Epidemiologic evidence suggesting misuse," American Journal of Public Health, American Public Health Association, vol. 70(5), pages 485-491.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.70.5.485_5
    DOI: 10.2105/AJPH.70.5.485
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    Cited by:

    1. Ann D. Bagchi & Dominick Esposito & James M. Verdier, "undated". "Prescription Drug Use and Expenditures Among Dually Eligible Beneficiaries," Mathematica Policy Research Reports c18ee0d0eda741c2857ab2d6a, Mathematica Policy Research.
    2. Ben-Ner Avner & Karaca-Mandic Pinar & Ren Ting, 2012. "Ownership and Quality in Markets with Asymmetric Information: Evidence from Nursing Homes," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 12(1), pages 1-33, October.
    3. repec:mpr:mprres:5533 is not listed on IDEAS
    4. Bradley T. Shapiro, 2018. "Informational Shocks, Off-Label Prescribing, and the Effects of Physician Detailing," Management Science, INFORMS, vol. 64(12), pages 5925-5945, December.

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