+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Impact of a medication management system on nursing home admission rate in a community-dwelling nursing home-eligible Medicaid population



Impact of a medication management system on nursing home admission rate in a community-dwelling nursing home-eligible Medicaid population



American Journal of Geriatric PharmacoTherapy 9(1): 69-79



Community-dwelling frail elderly have an increased need for effective medication management to reside in their homes and delay or avoid admission to nursing homes. The objective of this study was to examine the impact of a medication management system on nursing home admission within the community-dwelling frail elderly. This prospective cohort study compared nursing home admission rates in intervention and control clients of a state Medicaid home and community-based waiver program. Groups were matched on age (±5 years), race, gender, and waiver program start date (±120 days). The medication management service consisted of 2 parts: 1) prescription medicines dispensed from the client's local pharmacy in a calendar card, and 2) a coordinating service by a health educator to address medication-related problems as they arose. The primary dependent variable was admission to a nursing home. A total of 273 clients agreed to participate, enrolled, and had at least 1 prescription dispensed. The matched control group was composed of 800 other clients. The client sample was 72 years of age, 73% (785/1073) non-white, 75% (804/1073) female, and enrolled in the waiver program approximately 50 months. The 2 groups were similar on all demographic variables examined. Six clients (2.2%) in the intervention group and 40 clients (5.0%) in the control group were admitted to a nursing home at least once during the study period. Logistic regression was used to test the model predicting at least 1 nursing home admission. Control group clients were 2.94 times more likely to be admitted to a nursing home than clients in the intervention group. The medication management service implemented within this study was effective in reducing nursing home admissions in a group of frail community-dwelling elderly.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 053710855

Download citation: RISBibTeXText

PMID: 21459310

DOI: 10.1016/j.amjopharm.2011.02.008


Related references

Home-and community-based alternatives to nursing homes: services and costs to maintain nursing home eligible individuals at home. Journal of Aging and Health 15(2): 353-370, 2003

A randomized trial of in-home visits for disability prevention in community-dwelling older people at low and high risk for nursing home admission. Archives of Internal Medicine 160(7): 977-986, 2000

The impact of attending day care designed for home-dwelling people with dementia on nursing home admission: a 24-month controlled study. Bmc Health Services Research 18(1): 864, 2018

Impact of nursing home admission on health care use and disease status elderly dependent people one year before and one year after skilled nursing home admission based on 2012-2013 SNIIRAM data. Bmc Health Services Research 17(1): 667, 2018

Glycosylated hemoglobin and functional decline in community-dwelling nursing home-eligible elderly adults with diabetes mellitus. Journal of the American Geriatrics Society 60(7): 1215-1221, 2012

Nursing Home Eligible, Community-Dwelling Older Adults' Perceptions and Beliefs About Sleep: A Mixed-Methods Study. Clinical Nursing Research 2019: 1054773819849348, 2019

Case mix and outcomes of nursing home patients. The importance of prior nursing home care and admission from home versus hospital. Medical Care 27(4): 376-385, 1989

Predicting needs for nursing home admission - does sense of coherence delay nursing home admission in care dependent older people? A longitudinal study. International Journal of Older People Nursing 4(1): 12-21, 2009

Identifying at-risk dementia caregivers following institutionalization: the nursing home admission-burden and nursing home admission-depression prognostic tools. Journal of Applied Gerontology 33(5): 624-646, 2015

Identifying At-Risk Dementia Caregivers Following Institutionalization The Nursing Home Admission- Burden and Nursing Home Admission-Depression Prognostic Tools. 2013

Potentially avoidable hospitalizations of dually eligible Medicare and Medicaid beneficiaries from nursing facility and Home- and Community-Based Services waiver programs. Journal of the American Geriatrics Society 60(5): 821-829, 2012

Status of diabetes management in the nursing home setting in 2008: a retrospective chart review and epidemiology study of diabetic nursing home residents and nursing home initiatives in diabetes management. Journal of the American Medical Directors Association 10(5): 354-360, 2009

Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care. Dementia and Geriatric Cognitive Disorders Extra 5(3): 320-329, 2015

Community care: the status of home nursing in England. 2. The process of establishment of the home nursing system. Kangogaku Zasshi 45(10): 1155-1159, 1981

Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Health Care Management Review 39(4): 340-351, 2015