Resident characteristics and organizational factor... Catalogue en ligne

Titre :	Resident characteristics and organizational factors influencing the quality of drug use in Swedish nursing homes. (1998)
Auteurs :	I. SCHMIDT ; C.B. CLAESSON ; B.L. SVARSTAD ; B. WESTERHOLM
Type de document :	Article
Dans :	Social science and medicine (vol. 47, n° 7, 1998)
Pagination :	961-971
Langues:	Anglais
Mots-clés :	Utilisation ; Médicament psychotrope ; Maison retraite ; Long séjour ; Qualité ; Soins ; Suède ; Europe
Résumé :	[BDSP. Notice produite par INIST i75R0x95. Diffusion soumise à autorisation]. Appropriateness of drug use is an important indicator of the quality of care in nursing homes. In this study, we analyzed the influence of resident characteristics and selected organizational factors on the appropriateness of psychotropic drug use in 33 Swedish nursing homes. Specific criteria based on published guidelines and recommendations were developed to measure appropriateness. Residents diagnosed with a psychiatric disorder and younger residents had more deviations from the criteria : however. resident mix did not explain variations in appropriateness of drug use at the facility level. Facilities with better nurse staffing and drug intervention teams had fewer deviations from the criteria. but only 15-20% of the variation in drug prescribing was explained by these predictors.

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