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Inappropriate antipsychotic use: The impact of nursing home socioeconomic and racial composition

Journal of the American Geriatrics Society Jan 30, 2020

Fashaw S, Chisholm L, Mor V, et al. - Given a greater probability of receiving inappropriate antipsychotics has been suggested among black nursing home (NH) residents in previous research, researchers performed this inquiry in free-standing NHs (n = 12,964) in the United States, to assess the link of NH features, especially the racial and socioeconomic composition of residents, with the inappropriate use of antipsychotics. Adopting a longitudinal approach, they assessed national data from Long-Term Care: Facts on Care in the US (LTCFocUS.org) between 2000 and 2015. A reduction in the use of antipsychotics was highlighted by the findings. Although lower inappropriate antipsychotic use was reported for facilities with higher proportions of blacks, persisting facility-level socioeconomic differences among NHs were evident. To encourage decreases in antipsychotic use, particularly among Medicaid-reliant NHs, there is a need to consider policy interventions that focus on reimbursement.
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