The impact of patient-facility language discordance on potentially inappropriate prescribing of antipsychotics in long-term care home in Ontario, Canada: a retrospective population health cohort study

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dc.contributor.authorReaume, Michael
dc.contributor.authorPeixoto, Cayden
dc.contributor.authorPugliese, Michael
dc.contributor.authorTanuseputro, Peter
dc.contributor.authorBatista, Ricardo
dc.contributor.authorKendall, Claire E.
dc.contributor.authorLandry, Josette-Renée
dc.contributor.authorPrud’homme, Denis
dc.contributor.authorChomienne, Marie-Hélène
dc.contributor.authorFarrell, Barbara
dc.contributor.authorBjerre, Lise M.
dc.date.accessioned2024-11-18T18:47:51Z
dc.date.available2024-11-18T18:47:51Z
dc.date.issued2024-10-28
dc.date.updated2024-11-01T04:30:13Z
dc.description.abstractAbstract Background Appropriate use of medication is a key indicator of the quality of care provided in long-term care (LTC). The objective of this study was to determine whether resident-facility language concordance/discordance is associated with the odds of potentially inappropriate prescribing of antipsychotics (PIP-AP) in LTC. Methods We conducted a population-based, retrospective cohort study of LTC residents in Ontario, Canada from 2010 to 2019. We obtained resident language from standardized resident assessments, and derived facility language by determining the proportion of residents belonging to each linguistic group within individual LTC homes. Using linked administrative databases, we identified all instances of PIP-AP during a 1-year follow-up period. PIP-AP was defined using the STOPP-START criteria, which have previously been shown to predict adverse clinical events such as emergency department (ED) visits and hospitalizations. The association between linguistic factors and PIP-AP was assessed using adjusted multivariable logistic regression analysis. Results We identified 198,729 LTC residents consisting of 162,814 Anglophones (81.9%), 6,230 Francophones (3.1%), and 29,685 Allophones (14.9%). The odds of PIP-AP of were higher for both Francophones (aOR 1.15, 95% CI 1.08–1.23) and Allophones (aOR 1.11, 95% CI 1.08–1.15) when compared to Anglophones. When compared to English LTC homes, French LTC homes had greater odds of PIP-AP (aOR 1.12, 95% CI 1.05–1.20), while Allophone homes had lower odds of PIP-AP (aOR 0.82, 95% CI 0.77–0.86). Residents living in language-discordant LTC homes had higher odds of PIP-AP when compared to LTC residents living in language-concordant LTC homes (aOR 1.07, 95% CI 1.04–1.10). Conclusion This study identified linguistic factors related to the odds of PIP-AP in LTC, suggesting that the linguistic environment may have an impact on the quality of care provided to residents.
dc.identifier.citationBMC Geriatrics. 2024 Oct 28;24(1):889
dc.identifier.doi10.1186/s12877-024-05446-8
dc.identifier.urihttp://hdl.handle.net/1993/38669
dc.language.isoeng
dc.language.rfc3066en
dc.publisherBMC
dc.rights.holderThe Author(s)
dc.subjectPotentially inappropriate prescribing
dc.subjectLong-term care
dc.subjectLanguage concordance
dc.subjectAntipsychotics
dc.subjectLanguage as a determinant of health
dc.titleThe impact of patient-facility language discordance on potentially inappropriate prescribing of antipsychotics in long-term care home in Ontario, Canada: a retrospective population health cohort study
dc.typeJournal Article
local.author.affiliationRady Faculty of Health Sciences::Max Rady College of Medicine::Department of Internal Medicine
oaire.citation.issue889
oaire.citation.titleBMC Geriatrics
oaire.citation.volume24
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