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American Journal of Public Health, Vol. 77, Issue 11 1448-1450, Copyright © 1987 by American Public Health Association

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Reducing antipsychotic drug prescribing for nursing home patients: a controlled trial of the effect of an educational visit.

W A Ray, D G Blazer, 2nd, W Schaffner and C F Federspiel

Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, TN 37323.

We conducted a statewide, controlled trial of the efficacy of an educational visit in reducing antipsychotic drug prescribing for nursing home patients. Frequent antipsychotic drug prescribers were visited by a trained physician counselor who stressed known drug risks for elderly patients and suggested techniques for reducing antipsychotic drug use. Although well-received, the visit did not reduce antipsychotic drug prescribing. This negative finding suggests that future interventions address factors within the nursing home which encourage antipsychotic drug use.




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