{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T02:07:27Z","timestamp":1791770847989,"version":"4.3.4"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,1,22]],"date-time":"2020-01-22T00:00:00Z","timestamp":1579651200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007217","name":"VA Health Services Research and Development Service","doi-asserted-by":"publisher","award":["CDA 14\u2010422"],"award-info":[{"award-number":["CDA 14\u2010422"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["4T32 HS000011"],"award-info":[{"award-number":["4T32 HS000011"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P01 AG027296"],"award-info":[{"award-number":["P01 AG027296"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>Previous 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>\n                      This study used a longitudinal approach to examine national data from Long\u2010Term Care: Facts on Care in the US (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/ltcfocus.org\">LTCFocUS.org<\/jats:ext-link>\n                      ) 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.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>Free\u2010standing NHs in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS<\/jats:title>\n                    <jats:p>The sample consisted of 12 964 NHs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MEASUREMENTS<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      NHs 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 (\u03b2 = \u22122;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) in the adjusted analyses. Facilities with high proportions of Medicaid\u2010reliant residents had higher proportions of inappropriate use (\u03b2 = .04;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>\n                      Findings 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\u2010level 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\u2010reliant NHs.\n                      <jats:bold>J Am Geriatr Soc 68:630\u2013636, 2020<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.16316","type":"journal-article","created":{"date-parts":[[2020,1,22]],"date-time":"2020-01-22T05:47:32Z","timestamp":1579672052000},"page":"630-636","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Inappropriate Antipsychotic Use: The Impact of Nursing Home Socioeconomic and Racial Composition"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0077-5047","authenticated-orcid":false,"given":"Shekinah","family":"Fashaw","sequence":"first","affiliation":[{"name":"Center for Gerontology and Healthcare Research School of Public Health, Brown University  Providence Rhode Island"},{"name":"Department of Health Services, Policy, and Practice School of Public Health, Brown University  Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Latarsha","family":"Chisholm","sequence":"additional","affiliation":[{"name":"Department of Health Management &amp; Informatics College of Community Innovation and Education, University of Central Florida  Orlando Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Mor","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research School of Public Health, Brown University  Providence Rhode Island"},{"name":"Department of Health Services, Policy, and Practice School of Public Health, Brown University  Providence Rhode Island"},{"name":"Center of Innovation in Long\u2010Term Services and Supports U.S. Department of Veterans Affairs Medical Center  Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4081-1751","authenticated-orcid":false,"given":"David J.","family":"Meyers","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research School of Public Health, Brown University  Providence Rhode Island"},{"name":"Department of Health Services, Policy, and Practice School of Public Health, Brown University  Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinliang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Health Management &amp; Informatics College of Community Innovation and Education, University of Central Florida  Orlando Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Gammonley","sequence":"additional","affiliation":[{"name":"School of Social Work, College of Health Professions and Sciences University of Central Florida  Orlando Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kali","family":"Thomas","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research School of Public Health, Brown University  Providence Rhode Island"},{"name":"Department of Health Services, Policy, and Practice School of Public Health, Brown University  Providence Rhode Island"},{"name":"Center of Innovation in Long\u2010Term Services and Supports U.S. Department of Veterans Affairs Medical Center  Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,22]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Nursing Home Care. 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