{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T13:44:05Z","timestamp":1762177445902,"version":"3.41.2"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T00:00:00Z","timestamp":1636070400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Methods Psych Res"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess whether prevailing antipsychotic use rates in community nursing homes (CNH) influence new initiation of antipsychotics and diagnosis with antipsychotic indications among Veterans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used linked 2013\u20132016 Veterans Administration (VA) data, Medicare claims, Nursing Home Compare, and Minimum Data Set (MDS) assessments. The exposure was the proportion (in quintiles) of all CNH residents prescribed antipsychotics in the quarter preceding a Veteran's admission date. Using adjusted logistic regression, we analyzed two outcomes measured using MDS: antipsychotic initiation, and new diagnosis of an antipsychotic quality\u2010measure exclusionary condition (i.e., schizophrenia, Tourette's syndrome, or Huntington's disease).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 8201 Veterans without an indication for antipsychotics at baseline, 21.1% initiated antipsychotics and 3.5% were newly diagnosed with any exclusionary diagnosis after CNH admission. Schizophrenia accounted for almost all (96.8%) the new diagnoses. Antipsychotic initiation increased with higher CNH antipsychotic use rates: OR\u00a0=\u00a02.55, 95% CI: 2.08\u2013\u20103.12, quintile 5 versus 1. CNHs with the highest prevalent use of antipsychotics were associated with increased odds of Veterans acquiring an exclusionary diagnosis (OR\u00a0=\u00a02.09, 95% CI: 1.32\u20133.32, quintile 5 vs. 1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Incident antipsychotic use is common among Veterans admitted to CNHs. CNH antipsychotic prescribing practices are associated with Veterans being newly diagnosed with antipsychotic prescription indications, primarily schizophrenia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mpr.1898","type":"journal-article","created":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T17:34:26Z","timestamp":1636133666000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Antipsychotic initiation and new diagnoses excluded from quality\u2010measure reporting among Veterans in community nursing homes contracted by the Veterans Health Administration in the United States"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1323-4554","authenticated-orcid":false,"given":"Patience","family":"Moyo","sequence":"first","affiliation":[{"name":"Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Corneau","sequence":"additional","affiliation":[{"name":"Long Term Services and Supports Center of Innovation Providence VA Medical Center  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Portia Y.","family":"Cornell","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Long Term Services and Supports Center of Innovation Providence VA Medical Center  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy L.","family":"Mochel","sequence":"additional","affiliation":[{"name":"Long Term Services and Supports Center of Innovation Providence VA Medical Center  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate H.","family":"Magid","sequence":"additional","affiliation":[{"name":"Rocky Mountain Regional VA Medical Center  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cari","family":"Levy","sequence":"additional","affiliation":[{"name":"Rocky Mountain Regional VA Medical Center  Aurora Colorado USA"},{"name":"Division of Geriatric Medicine University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Mor","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Long Term Services and Supports Center of Innovation Providence VA Medical Center  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,5]]},"reference":[{"volume-title":"Evaluation of the Department of Veterans Affairs Mental Health Services","year":"2018","author":"Academies","key":"e_1_2_9_2_1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13230"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2019.1571015"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.trci.2017.02.003"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3346-9"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-017-0428-1"},{"volume-title":"Quality measures","year":"2021","author":"CMS","key":"e_1_2_9_8_1"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igaa018"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16316"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31825fb21d"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200012000-00003"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13081"},{"volume-title":"Atypical antipsychotic medications: Use in adults","year":"2015","author":"Indications","key":"e_1_2_9_14_1"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igaa055"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.npp.1301492"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/47.3.356"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2006.04.004"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-1539"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2009.60.9.1175"},{"volume-title":"Medicare atypical antipsychotic drug claims for elderly nursing home residents (OE1\u201007\u201008\u201000150)","year":"2011","author":"Levinson D. 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