Antipsychotic Prescribing in Nursing Homes in the United States: Response to Regulatory Stringency (Health Economics)

Summary

This paper studies the impact of regulatory stringency in the USA (as measured by the statewide deficiency citation rate over the past year) on the quality of care provided in a US national sample of nursing homes from 2000 to 2005.

The quality measure used in this research is the proportion of residents taking antipsychotic medication. Nursing home residents account for some of the increase in the use of antipsychotics, but the authors assert that use of antipsychotics by nursing homes is responsive to state regulatory enforcement. The effect of the regulations is said to depend on the “degree of complementarity” between the regulatory deficiency and the use of antipsychotics. The wording of the abstract is gloriously arcane, but this is understood here as meaning that more stringent regulation can play a role in the reducing the proportion of residents prescribed antipsychotic medications and enforcing a generally higher quality of care.

Full Text Link (Access to this article requires a suitable password, a journal subscription or a one-off payment)

Reference

Bowblis, JR. Crystal, S. [and] Intrator, O. [et al] (2012). Response to regulatory stringency: the case of antipsychotic medication use in nursing homes. Health Economics, August 2012, Vol.21(8), pp.977-93. (Click here to view the PubMed abstract).

Note: A 2010 version of this research is available freely:

Full Text Link (b)

Reference

Bowblis, JR. Crystal, S. [and] Intrator, O. [et al] (2012). Response to regulatory stringency: the case of antipsychotic medication use in nursing homes. Oxford: Miami University (Farmer School of Business), August 2010. Department of Economics Working Paper. 27p.

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Antipsychotics, For Researchers (mostly), International, Pharmacological Treatments, Quick Insights and tagged , , , , , , , , , , , , , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.