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Changes in resident and facility risk factors for psychotropic drug use in nursing homes since the Nursing Home Reform Act
Author(s)Nicholas G Castle
Journal titleJournal of Applied Gerontology, vol 18, no 1, March 1999
Pagespp 77-98
KeywordsDrugs ; At risk ; Patients [nursing homes] ; Longitudinal surveys ; United States of America.
AnnotationResident and nursing home risk factors for the use of psychotropic drugs since the implementation of the US Nursing Home Reform Act (NHRA) are identified, and the results compared with risk factors prior to the implementation of the Act. The results obtained update our knowledge of resident risk factors for psychotropic drug use and identify important but previously unexplored risk factors for their use. No evidence was found that particular types of nursing homes - such as for-profits - were systematically more likely to use psychotropic drugs. There was some evidence to suggest that operating characteristics of nursing homes, such as Medicaid census, are more influential in changing psychotropic drug use. In addition, both resident and nursing home risk factors for psychotropic drug use differed pre- and post-implementation of the NHRA. Antipsychotic drug use increased slightly during this study period. (RH).
Accession NumberCPA-990604005 A
ClassmarkLLD: CA3: LHB:LF: 3J: 7T

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