Drug overprescription in nursing homes: an empirical evaluation of administrative data

Drug overprescription in nursing homes: an empirical evaluation of administrative data
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疗养院的药物过量:行政数据的实证评估

DOI:
10.1007/s10198-015-0676-y
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发表时间:
2016
期刊:
The European Journal of Health Economics
影响因子:
--
通讯作者:
Magdalena A.
Magdalena A.
中科院分区:
--
文献类型:
--
作者:
Stroka;Magdalena A.

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一个广泛讨论的缺点,长期护理的老人院是不适当的或次优的药物利用,特别是精神药物。使用行政数据从最大的疾病基金在德国,这项研究的目的是估计机构对药物摄入量的体弱老人。差异中的差异倾向评分匹配技术被用来比较药物处方的体弱老人谁进入养老院与那些留在门诊护理系统;研究结果表明,养老院居民接受更多剂量的抗精神病药,抗抑郁药和镇痛药。潜在的过度处方与每年约8700万欧元的估计药物成本相关。
A widely discussed shortcoming of long-term care in nursing homes for the elderly is the inappropriate or suboptimal drug utilization, particularly of psychotropic drugs. Using administrative data from the largest sickness fund in Germany, this study was designed to estimate the effect of institutionalization on the drug intake of the frail elderly. Difference-in-differences propensity score matching techniques were used to compare drug prescriptions for the frail elderly who entered a nursing home with those who remained in the outpatient care system; findings suggest that nursing home residents receive more doses of antipsychotics, antidepressants, and analgesics. The potential overprescription correlates with estimated drug costs of about €87 million per year.
疗养院中精神药物的使用——诊断指征和机构之间的差异
DOI: --
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影响因子: 2.9
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