Use of atypical antipsychotics in nursing homes and pharmaceutical marketing
AuthorsPimentel, Camilla B.
Donovan, Jennifer L.
Field, Terry S.
Gurwitz, Jerry H.
Harrold, Leslie R.
Kanaan, Abir O.
Lemay, Celeste A.
Mazor, Kathleen M.
Briesacher, Becky A.
UMass Chan AffiliationsDepartment of Quantitative Health Sciences
Meyers Primary Care Institute
Graduate School of Biomedical Sciences, Clinical and Population Health Research Program
Document TypeJournal Article
Health Services Research
Pharmacy and Pharmaceutical Sciences
Psychiatric and Mental Health
MetadataShow full item record
AbstractOBJECTIVES: To describe the current extent and type of pharmaceutical marketing in nursing homes (NHs) in one state and to provide preliminary evidence for the potential influence of pharmaceutical marketing on the use of atypical antipsychotics in NHs. DESIGN: Nested mixed-methods, cross-sectional study of NHs in a cluster randomized trial. SETTING: Forty-one NHs in Connecticut. PARTICIPANTS: NH administrators, directors of nursing, and medical directors (n = 93, response rate 75.6%). MEASUREMENTS: Quantitative data, including prescription drug dispensing data (September 2009-August 2010) linked with Nursing Home Compare data (April 2011), were used to determine facility-level prevalence of atypical antipsychotic use, facility-level characteristics, NH staffing, and NH quality. Qualitative data, including semistructured interviews and surveys of NH leaders conducted in the first quarter of 2011, were used to determine encounters with pharmaceutical marketing. RESULTS: Leadership at 46.3% of NHs (n = 19) reported pharmaceutical marketing encounters, consisting of educational training, written and Internet-based materials, and sponsored training. No association was detected between level of atypical antipsychotic prescribing and reports of any pharmaceutical marketing by at least one NH leader. CONCLUSION: NH leaders frequently encounter pharmaceutical marketing through a variety of ways, although the impact on atypical antipsychotic prescribing is unclear. Geriatrics Society.
SourceJ Am Geriatr Soc. 2015 Feb;63(2):297-301. doi: 10.1111/jgs.13180. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/37301
First author Camilla B. Pimentel is a doctoral student in the Clinical and Population Health Research Program in the Graduate School of Biomedical Sciences (GSBS) at UMass Medical School.
Related ResourcesLink to Article in PubMed