{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:28:04Z","timestamp":1777418884574,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2011,4,1]],"date-time":"2011-04-01T00:00:00Z","timestamp":1301616000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Pharmacother"],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Over-the-counter (OTC) medications, benzodiazepines, and barbiturates are not covered under many Medicare drug benefit plans; hence, their use by homebound older adults is largely unreported. Furthermore, the tiered design of Medicare drug formularies may in fact promote the use of older but potentially inappropriate medications. Little is known about the use of these medications in the homebound older adult population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine the prevalence of the use by homebound older adults of OTC drugs, dietary supplements (vitamins, minerals, and herbal products), Part D-excluded medications (benzodiazepines and barbiturates), and potentially inappropriate medications (according to Beers criteria).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients were enrollees in a home and community-based Medicaid waiver provider. All clients were older than 65 and were dually eligible for Medicare and Medicaid. All clients met Florida Medicaid's medical and financial criteria for nursing home placement. The medication list was obtained by geriatric care managers during a home assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 3911 older adults (mean [SD] age 83.6 [8.0] years) were taking an average of 9.9 [4.8] drugs. Of these individuals. 74.5% were using an OTC medication, 41.9% were using a dietary supplement, 29.6% were using a benzodiazepine or barbiturate, and 25.2% were using at least 1 potentially inappropriate medication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Based on data gathered by a geriatric care management assessment, we found that most of the homebound older adults enrolled in our study used medications not included in their Medicare drug benefit. The use of potentially inappropriate medications was also common in this population. Future drug safety initiatives involving the elderly will benefit from engaging care managers in identifying and addressing the potential hazards posed by commonly used prescribed and nonprescribed medications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1345\/aph.1p643","type":"journal-article","created":{"date-parts":[[2011,4,12]],"date-time":"2011-04-12T23:42:07Z","timestamp":1302651727000},"page":"492-498","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Medication Assessments by Care Managers Reveal Potential Safety Issues in Homebound Older Adults"],"prefix":"10.1177","volume":"45","author":[{"given":"Adam G","family":"Golden","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, University of Central Florida College of Medicine, Orlando, FL; Geriatrics and Extended Care, Orlando Veterans Affairs Medical Center, Orlando"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dingxi","family":"Qiu","sequence":"additional","affiliation":[{"name":"College of Engineering, University of Miami, Coral Gables, FL"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard A","family":"Roos","sequence":"additional","affiliation":[{"name":"Neurology, and Exercise and Sport Sciences; Director, Geriatrics Institute, Miller School of Medicine, University of Miami; Geriatric Research, Education, and Clinical Center, Bruce W. Carter Veterans Affairs Medical Center; Stein Gerontological Institute, Miami Jewish Health Systems, Miami"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,4,20]]},"reference":[{"key":"bibr1-aph.1P643","volume-title":"Preventing medication errors: quality chasm series","author":"Aspden P","year":"2007"},{"key":"bibr2-aph.1P643","volume-title":"Essentials of clinical geriatrics","author":"Kane RL","year":"2009","edition":"6"},{"key":"bibr3-aph.1P643","author":"Centers for Medicare &amp; Medicaid Services (CMS).","journal-title":"Unnecessary medications guidance training"},{"key":"bibr4-aph.1P643","unstructured":"Centers for Medicare & Medicaid Services (CMS). State operations manual. Appendix PP\u2013guidance to surveyors for long term care facilities, 2009. http:\/\/www.cms.gov\/manuals\/Downloads\/som107ap_pp_guidelinesjtcf.pdf (accessed 2010 Jul 16)."},{"key":"bibr5-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1999.tb01289.x"},{"key":"bibr6-aph.1P643","first-page":"31","volume":"12","author":"Golden AG","year":"2004","journal-title":"Ann Long Term Care"},{"key":"bibr7-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnq015"},{"key":"bibr8-aph.1P643","first-page":"17","volume":"16","author":"AGS Foundation for Health in Aging.","year":"2008","journal-title":"Clin Geriatr"},{"key":"bibr9-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp038172"},{"key":"bibr10-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.02835.x"},{"key":"bibr11-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1E581"},{"key":"bibr12-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1K270"},{"key":"bibr13-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1002\/pds.1066"},{"key":"bibr14-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02668.x"},{"key":"bibr15-aph.1P643","unstructured":"Office of Program Policy Analysis & Government Accountability. The Alzheimer's disease waiver program does not delay nursing home entry more effectively than other waivers and costs the state more per participant than most waivers that serve similar persons. Report No. 10-23, 2010. http:\/\/www.oppaga.state.fl.us\/MonitorDocs\/Reports\/pdf\/1023rpt.pdf (accessed 2010 Jul 28)."},{"key":"bibr16-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.22.2716"},{"key":"bibr17-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.w5.152"},{"key":"bibr18-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.3.337"},{"key":"bibr19-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2008.892"},{"key":"bibr20-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjopharm.2010.06.003"},{"key":"bibr21-aph.1P643","unstructured":"Centers for Medicare & Medicaid Services (CMS). MDS active resident information report. http:\/\/www.cms.hhs.gov\/MDSPubQIandResRep\/04_activeresreport.asp?date=28&isSubmitted=res2 (accessed 2010 Feb 27)."},{"key":"bibr22-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02329.x"},{"key":"bibr23-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00870.x"},{"key":"bibr24-aph.1P643","author":"American Association of Retired Persons and the National Center for Complementary and Alternative Medicine.","year":"2007","journal-title":"AARP"},{"key":"bibr25-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.2.208"},{"key":"bibr26-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02231.x"},{"key":"bibr27-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/62.10.1172"},{"key":"bibr28-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1999.tb01898.x"},{"key":"bibr29-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.357"},{"key":"bibr30-aph.1P643","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2753.1997.t01-1-00005.x"},{"key":"bibr31-aph.1P643","volume-title":"Retooling for an aging America: building the health care workforce","author":"Institute of Medicine, Committee on the Future Health Care Workforce for Older Americans.","year":"2008"}],"container-title":["Annals of Pharmacotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1345\/aph.1P643","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1345\/aph.1P643","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:08:34Z","timestamp":1777374514000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1345\/aph.1P643"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2011,4]]}},"alternative-id":["10.1345\/aph.1P643"],"URL":"https:\/\/doi.org\/10.1345\/aph.1p643","relation":{},"ISSN":["1060-0280","1542-6270"],"issn-type":[{"value":"1060-0280","type":"print"},{"value":"1542-6270","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4]]}}}