Table 3:
Linear Probability Model Estimates of Nursing Home Characteristics Associated with Being in the Bottom Quartile of Antipsychotic, Benzodiazepine, or Opioid Prescribing to Residents with Alzheimer’s Disease and Related Dementias, 2017
Outcome | |||
---|---|---|---|
| |||
Bottom Quartile of Antipsychotic Prescribing | Bottom Quartile of Benzodiazepine Prescribing | Bottom Quartile of Opioid Prescribing | |
| |||
Coefficient (p-value) | |||
Average age | 11.91*** | 5.98*** | 0.90 |
(<0.001) | (<0.001) | (0.267) | |
| |||
% Black | 4.07*** | 10.79*** | 6.75*** |
(<0.001) | (<0.001) | (<0.001) | |
| |||
% Hispanic | −0.04 | 2.27* | 6.05*** |
(0.952) | (0.033) | (<0.001) | |
| |||
% other race | 3.23*** | 6.74*** | 6.91*** |
(<0.001) | (<0.001) | (<0.001) | |
| |||
% female | −0.73 | −3.46*** | −5.57*** |
(0.237) | (<0.001) | (<0.001) | |
| |||
Acuity index | 0.14 | −0.88 | −1.26 |
(0.797) | (0.190) | (0.067) | |
| |||
% Medicaid | −2.43** | −1.33* | 0.51 |
(0.001) | (0.012) | (0.215) | |
| |||
RN:RN+LPN ratio | 1.14* | 1.78** | 2.56* |
(0.035) | (0.005) | (0.017) | |
| |||
Hours of direct patient care | 1.01 | −0.24 | −0.44 |
(0.050) | (0.635) | (0.446) | |
| |||
Occupancy rate | 0.95* | −0.36 | −0.15 |
(0.050) | (0.387) | (0.861) | |
| |||
Total beds | −1.10 | −0.55 | 0.95 |
(0.099) | (0.532) | (0.295) | |
| |||
Alzheimer’s unit† | −7.04*** | −4.66*** | 1.57 |
(<0.001) | (<0.001) | (0.232) | |
| |||
Multiple facilities† | 2.31** | −0.03 | −3.09* |
(0.005) | (0.967) | (0.031) | |
| |||
For-profit† | −1.23 | 0.78 | 2.67 |
(0.319) | (0.458) | (0.056) | |
| |||
Hospital-based† | −3.32 | −0.34 | −5.26** |
(0.105) | (0.895) | (0.003) | |
| |||
Number of facilities | 13,151 | 13,151 | 13,151 |
Notes:
p<0.001,
p<0.01,
p<0.05.
ADRD: Alzheimer’s disease and related dementias; RN: registered nurse; LPN: licensed practical nurse. Estimates are based on linear probability models with state-clustered standard errors. Continuous variables are standardized and coefficients are in percentage points. State fixed effects are included but not reported. Prescribing outcomes are from 2017 pharmacy claims, resident characteristics (age, race/ethnicity, and gender) are from the Medicare Beneficiary Summary File, and NH characteristics are from LTCFocus.
Variables are binary. Reference categories are NHs without an Alzheimer’s unit, NHs that are not part of a chain, not-for-profit NHs, and NHs that are not hospital-based.