ArticleJournal of the American Geriatrics Society2020
Inappropriate Antipsychotic Use: The Impact of Nursing Home Socioeconomic and Racial Composition.
Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
20 citing papers in PubMed, 30 citations in OpenAlex.
- Structural Vulnerability and the Pandemic: Widening Gaps in Nursing Home Antipsychotic Prescribing.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- National and State Societal Costs of Schizophrenia in the US in 2024.JAMA psychiatry · 2026Article
- Impact of national partnership to improve dementia care on antipsychotic use duration for dementia residents in nursing homes.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Methods for studying health disparities in U.S. nursing homes: a scoping review.BMC health services research · 2025Article
- A model to increase care delivery in nursing homes: The role of Institutional Special Needs Plans.Health services research · 2025Article
- Association of Racial and Ethnic Composition with Staff Levels in Nursing Homes: 2013-2019.Journal of the American Medical Directors Association · 2025Article
- Impact of federal antipsychotic use policy in nursing homes on new diagnoses for approved indications in dementia residents.Journal of the American Geriatrics Society · 2024Article
- Under-Diagnosis of Dementia with Lewy Bodies in Individuals Racialized as Black: Hypotheses Regarding Potential Contributors.Journal of Alzheimer's disease : JAD · 2024Review
- Federal Nursing Home Policies on Antipsychotics had Similar Impacts by Race and Ethnicity for Residents With Dementia.Journal of the American Medical Directors Association · 2023Article
- Nursing Homes Underreport Antipsychotic Use but Overreport Diagnoses Qualifying for Appropriate Use.Health affairs scholar · 2023Article
- Long-Stay Mood Stabilizer Use Increasing as Prescription of Antipsychotics Decreases.GeroPsych · 2023Article
- Antiepileptic prescribing to persons living with dementia residing in nursing homes: A tale of two indications.Journal of the American Geriatrics Society · 2023Article
- Nursing Home Characteristics Associated with High and Low Levels of Antipsychotic, Benzodiazepine, and Opioid Prescribing to Residents with Alzheimer's Disease and Related Dementias: A Cross-Sectional Analysis.Journal of the American Medical Directors Association · 2022Article
- Factors Associated with Potentially Harmful Medication Prescribing in Nursing Homes: A Scoping Review.Journal of the American Medical Directors Association · 2022Article
- Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer's Disease and Related Dementias.Journal of aging and health · 2022Article
- Antipsychotic initiation and new diagnoses excluded from quality-measure reporting among Veterans in community nursing homes contracted by the Veterans Health Administration in the United States.International journal of methods in psychiatric research · 2022Article
- Evidence for Action: Addressing Systemic Racism Across Long-Term Services and Supports.Journal of the American Medical Directors Association · 2022Article
- Nursing Home Characteristics Associated with Antipsychotic Prescribing After Implementation of the National Antipsychotic Reduction Initiative (ARI).Clinical gerontologistArticle
- Quality Gap in Long-Stay Antipsychotic Quality Measure Performance Widens Over the Pandemic, Reversing Past Gains.Gerontology & geriatric medicineArticle
- Community, Social, and Facility Factors and Long-stay Antipsychotic Use.Clinical gerontologistArticle
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesPrevious research suggests black nursing home (NH) residents are more likely to receive inappropriate antipsychotics. Our aim was to examine how NH characteristics, particularly the racial and socioeconomic composition of residents, are associated with the inappropriate use of antipsychotics.
designThis study used a longitudinal approach to examine national data from Long-Term Care: Facts on Care in the US (LTCFocUS.org) between 2000 and 2015. We used a multivariate linear regression model with year and state fixed effects to estimate the prevalence of inappropriate antipsychotic use at the NH level.
settingFree-standing NHs in the United States.
participantsThe sample consisted of 12 964 NHs. MEASUREMENTS: The outcome variable was inappropriate antipsychotic use at the facility level. The primary indicator variables were whether a facility had high proportions of black residents and the percentage of residents with Medicaid as their primary payer.
resultsNHs with high and low proportions of blacks had similar rates of antipsychotic use in the unadjusted analyses. NHs with high proportions of black residents had significantly lower rates of inappropriate antipsychotic use (β = -2; P < .001) in the adjusted analyses. Facilities with high proportions of Medicaid-reliant residents had higher proportions of inappropriate use (β = .04; P < .001).
conclusionFindings from this study indicate a decline in the use of antipsychotics. Although findings from this study indicated facilities with higher proportions of blacks had lower inappropriate antipsychotic use, facility-level socioeconomic disparities continued to persist among NHs. Policy interventions that focus on reimbursement need to be considered to promote reductions in antipsychotic use, specifically among Medicaid-reliant NHs. J Am Geriatr Soc 68:630-636, 2020.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.