Prevalence of Potentially Inappropriate Medication Prescribing in US Nursing Homes, 2013-2017.
Prevalence of Potentially Inappropriate Medication Prescribing in US Nursing Homes, 2013-2017.
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2013-2017 年美国疗养院中潜在不适当药物处方的发生率。
DOI：
10.1007/s11606-022-07825-6
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发表时间：
2023
影响因子：
5.7
通讯作者：
Zullo,AndrewR
中科院分区：
文献类型：
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作者：
Riester,MelissaR;Goyal,Parag;Steinman,MichaelA;Zhang,Yuan;Rodriguez,MarielaF;Paul,DakotaRome;Zullo,AndrewR
方法：这项回顾性队列研究将最小数据集（MDS）3.0版评估与医疗保险数据联系起来。MDS是政府授权的评估，记录居民的健康信息，如功能和认知状态。1 Medicare Beneficiary Summary File包含人口统计和计划登记信息。医疗保险D部分索赔包含处方药分配。我们确定了2013年1月1日至2017年12月31日期间参加Medicare Part D的长期居住NH居民（在任何NH连续≥ 101天）。排除年龄< 65岁或缺少关键人口统计学或临床特征的居民。为了在NH停留期间的一致时间点开始开始随访，我们排除了2013年1月1日之前在NH停留第101天的个体。我们随机抽取了每人一个长期停留的事件。
METHODSThis retrospective cohort study linked Minimum Data Set (MDS) version 3.0 assessments with Medicare data. The MDS is a government-mandated assessment that documents resident health information such as functional and cognitive status. 1 The Medicare Beneficiary Summary File contained demographic and plan enrollment information. Medicare Part D claims contained prescription drug dispensings. We identified long-stay NH residents (≥ 101 consecutive days in any NH) enrolled in Medicare Part D between January 1, 2013, and December 31, 2017. Residents aged< 65 years or missing key demographic or clinical characteristics were excluded. To begin follow-up at a consistent point during the NH stay, we excluded individuals whose 101st day in the NH was prior to January 1, 2013. We randomly sampled one long-stay episode per person.