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Hughes CM, Roughead E, Kerse N. Improving use of medicines for older people in long-term care: contrasting the policy approach of four countries. Healthc Policy. 2008;3(3):e154-67
Hughes, C. M., Roughead, E., & Kerse, N. (2008). Improving use of medicines for older people in long-term care: contrasting the policy approach of four countries. Healthcare policy = Politiques de sante, 3(3), e154-67.
Hughes, Carmel M, et al. "Improving use of medicines for older people in long-term care: contrasting the policy approach of four countries." Healthcare policy = Politiques de sante vol. 3,3 (2008): e154-67.
Hughes CM, Roughead E, Kerse N. Improving use of medicines for older people in long-term care: contrasting the policy approach of four countries. Healthc Policy. 2008 Feb;3(3):e154-67. PMID: 19305761; PMCID: PMC2645146.
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Healthc Policy. 2008 Feb;3(3):e154-67.

Improving use of medicines for older people in long-term care: contrasting the policy approach of four countries.

Healthcare policy = Politiques de sante

Carmel M Hughes, Elizabeth Roughead, Ngaire Kerse

Affiliations

  1. Professor, Primary Care Pharmacy.

PMID: 19305761 PMCID: PMC2645146

Abstract

The quality of nursing home care for older people, including medication use and related outcomes, has been problematic in a number of developed countries. This paper compares the policy approaches to drug prescribing and administration in nursing homes adopted by four countries. The United States has led the way in terms of regulating and inspecting nursing homes, with strict requirements for prescribing psycho-tropic medications, commonly known as "chemical restraints." These requirements have been facilitated by detailed data collection mandated by the US government. Although regulation has led to marked reductions in the prescribing of these agents, underused medications have received little attention. Despite similar problems with the use of psychotropic drugs, the United Kingdom, Australia and New Zealand have adopted a more generic approach to drug use in the nursing home setting, a situation that may reflect the different organization and ethos of healthcare systems in these countries. Developments in systematic medication data capture, greater collaboration and more educational feedback to prescribers and facilities would represent a major step forward in long-term care policy in these latter three countries, while a broader educational focus would further support improvements in the US setting.

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