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

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  • Magdalena A. Stroka

    () (RWI Essen
    Ruhr-Universität Bochum
    WINEG-Scientific Institute of TK for Benefit and Efficiency in Health Care)

Abstract

Abstract 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.

Suggested Citation

  • Magdalena A. Stroka, 2016. "Drug overprescription in nursing homes: an empirical evaluation of administrative data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(3), pages 257-267, April.
  • Handle: RePEc:spr:eujhec:v:17:y:2016:i:3:d:10.1007_s10198-015-0676-y
    DOI: 10.1007/s10198-015-0676-y
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    References listed on IDEAS

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    More about this item

    Keywords

    Medication errors; Patient safety; Expenditures; Drug over- and undersupply; Medical costs;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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