Variation in psychotropic drug use in nursing homes.
Numerous studies of health service use reveal considerable variation in the degree of services provided. In this article the variation in psychotropic drug use in nursing homes is examined. First, a descriptive analysis of nursing homes with and without high levels of psychotropic drug use is provided. Second, an analysis of the determinants of high levels of psychotropic drug use in nursing homes is provided. Factors such as ownership, staffing levels, having special care units, case-mix intensity, competitiveness of the nursing home market, and the state Medicaid reimbursement rate structure are examined. The results of these analyses are discussed in terms of their policy issues.
Castle
N G
NG
Atlanti-Care Health Systems, Egg Harbor Township, NJ 08234, USA. Nick.Castle@AtlantiCare.org
D000203:Activities of Daily Living; D017723:Drug Utilization Review / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006300:Health Services Misuse / Q000706:statistics & numerical data; D006801:Humans; D007356:Insurance, Pharmaceutical Services; D008484:Medicaid; D006278:Medicare; D001523:Mental Disorders / Q000188:drug therapy*; D009735:Nursing Homes / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards / Q000706:statistics & numerical data*; D010067:Ownership; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D014481:United States
D011619:Psychotropic Drugs