Prescription drugs in nursing homes: managing costs and quality in a complex environment.
نویسندگان
چکیده
This brief provides a description of prescription drug use in nursing homes and a summary of current policy issues in this area. The brief first profiles the nursing home pharmaceutical market, outlining the major trends in demographics and drug utilization, the supply chain by which drugs go from manufacturers to pharmacies to nursing home residents, and the alternative arrangements by which prescription drugs in nursing homes are financed. The brief then provides a synopsis of current policy issues, focusing in turn on cost containment and quality improvement initiatives.
منابع مشابه
Drug Prescription Patterns in Older People Residential Homes
Objectives: Compared to other age groups, older people, especially frail older people residing in nursing homes use medications more due to the higher prevalence of chronic diseases. This study aimed to investigate prescription patterns for older people in nursing homes of Tehran in 2011. Methods & Materials: In this cross-sectional study, the data of 170 older people, sampled random cluster...
متن کاملIs an unhealthy work environment in nursing home care for people with dementia associated with the prescription of psychotropic drugs and physical restraints?
BACKGROUND Research showed that long-term care facilities differ widely in the use of psychotropic drugs and physical restraints. The aim of this study is to investigate whether characteristics of an unhealthy work environment in facilities for people with dementia are associated with more prescription of psychotropic drugs and physical restraints. METHODS Data were derived from the first wav...
متن کاملAntipsychotic prescribing in nursing homes: an audit report.
BACKGROUND In recent years there have been concerns regarding the prescribing of antipsychotic drugs to patients with dementia in nursing homes, due to adverse effects, inappropriate indications and insufficient review. Our practice decided to look at this difficult area more closely. AIM The aim of this audit was to assess whether our prescribing of antipsychotic drugs in nursing homes was a...
متن کاملExamining the impact of Part D on nursing home residents.
Key findings. (1) Even though 81 percent of eligible nursing home residents enrolled in Part D within the first year, they demonstrated no evidence of expanded drug coverage. (2) Medicare Part D lowered the out-of-pocket drug costs of nursing home residents by less than the amount in the community setting. (3) Nursing home residents who did not enroll in Part D exhibited characteristics of vuln...
متن کاملEvaluation of prescribing quality in nursing homes based on drug-specific indicators: The Bergen district nursing home (BEDNURS) study
Objectives: To examine prescribing quality among nursing home patients. Methods: A cross sectional study in 23 nursing homes, based on drug charts. The evaluation of prescribing quality was based on selected drug-specific indicators established by the Swedish National Board of Health and Welfare. Logistic regression analysis was used to examine associations between prescribing indicators and pr...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- NHPF issue brief
دوره 784 شماره
صفحات -
تاریخ انتشار 2002