eprintid: 19360
rev_number: 38
eprint_status: archive
userid: 1589
dir: disk0/00/01/93/60
datestamp: 2015-12-01 12:20:07
lastmod: 2024-04-16 06:51:33
status_changed: 2015-12-01 12:20:07
type: article
metadata_visibility: show
creators_name: Lix, Lisa M.
creators_name: Yan, Lin
creators_name: Blackburn, David
creators_name: Hu, Nianping
creators_name: Schneider-Lindner, Verena
creators_name: Shevchuk, Yvonne
creators_name: Teare, Gary F.
title: Agreement between administrative data and the Resident Assessment Instrument Minimum Dataset (RAI-MDS) for medication use in long-term care facilities: a population-based study
subjects: ddc-610
divisions: old-i-61600
abstract: Background: Prescription medication use, which is common among long-term care facility (LTCF) residents, is routinely used to describe quality of care and predict health outcomes. Data sources that capture medication information, which include surveys, medical charts, administrative health databases, and clinical assessment records, may not collect concordant information, which can result in comparable prevalence and effect size estimates. The purpose of this research was to estimate agreement between two population-based electronic data sources for measuring use of several medication classes among LTCF residents: outpatient prescription drug administrative data and the Resident Assessment Instrument Minimum Data Set (RAI-MDS) Version 2.0.   Methods: Prescription drug and RAI-MDS data from the province of Saskatchewan, Canada (population 1.1 million) were linked for 2010/11 in this cross-sectional study. Agreement for anti-psychotic, anti-depressant, and anti-anxiety/hypnotic medication classes was examined using prevalence estimates, Cohen’s κ, and positive and negative agreement. Mixed-effects logistic regression models tested resident and facility characteristics associated with disagreement.   Results: The cohort was comprised of 8,866 LTCF residents. In the RAI-MDS data, prevalence of anti-psychotics was 35.7%, while for anti-depressants it was 37.9% and for hypnotics it was 27.1%. Prevalence was similar in prescription drug data for anti-psychotics and anti-depressants, but lower for hypnotics (18.0%). Cohen’s κ ranged from 0.39 to 0.85 and was highest for the first two medication classes. Diagnosis of a mood disorder and facility affiliation was associated with disagreement for hypnotics.   Conclusions: Agreement between prescription drug administrative data and RAI-MDS assessment data was influenced by the type of medication class, as well as selected patient and facility characteristics. Researchers should carefully consider the purpose of their study, whether it is to capture medication that are dispensed or medications that are currently used by residents, when selecting a data source for research on LTCF populations.  
date: 2015
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1656772078
own_urn: urn:nbn:de:bsz:16-heidok-193609
language: eng
bibsort: LIXLISAMAGREEMENTB2015
full_text_status: public
publication: BMC geriatrics
volume: 15
number: 24
place_of_pub: London
pagerange: 1-7
issn: 1471-2318
citation:   Lix, Lisa M. ; Yan, Lin ; Blackburn, David ; Hu, Nianping ; Schneider-Lindner, Verena ; Shevchuk, Yvonne ; Teare, Gary F.  (2015) Agreement between administrative data and the Resident Assessment Instrument Minimum Dataset (RAI-MDS) for medication use in long-term care facilities: a population-based study.  BMC geriatrics, 15 (24).  pp. 1-7.  ISSN 1471-2318     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/19360/1/12877_2015_Article_23.pdf