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The impact of legislation on psychotropic drug use in nursing homes
 — a cross-national perspective
Author(s)Carmel M Hughes, Kate L Lapane, Vincent Mor
Journal titleJournal of the American Geriatrics Society, vol 48, no 8, August 2000
Pagespp 931-937
KeywordsDrugs ; Nursing homes ; Law ; Falls ; Cross sectional surveys ; United States of America ; Denmark ; Iceland ; Italy ; Japan ; Sweden.
AnnotationNursing home data from five countries with no psychotropic drug use legislation (Denmark, Iceland, Italy, Japan and Sweden) was compared with data from five US states. The occurrence of falls was evaluated similarly. Prevalence of antipsychotic and/or anti-anxiety hypnotic use varied substantially across countries. Nursing home residents in Denmark, Italy and Sweden were at least twice as likely to receive these drugs; in Iceland, the risk increased to greater than 6 times that of the US. Residents were less likely to fall in Italy, Iceland and Japan compared with the US, despite more extensive use of psychotropic medication, whereas residents in Sweden and Denmark were more likely to fall. Policy has an impact on the prescribing of psychotropic medication in US nursing homes compared with other countries, but it is unclear if this is translated into better outcomes for residents. (RH).
Accession NumberCPA-001020208 A
ClassmarkLLD: LHB: VR: OLF: 3KB: 7T: 76K: 76R: 76V: 7DT: 76P

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