{"id":{"repo_id":"uoit","oai_identifier":"oai:ontariotechu.scholaris.ca:10155/1610"},"canonical_url":"https://search.dev.ndltd.org/etd/uoit/oai:ontariotechu.scholaris.ca:10155/1610","repository":{"repo_id":"uoit","name":"Ontario Institute of Technology","base_url":"https://ontariotechu.scholaris.ca/server/oai/request"},"display":{"title":"Antipsychotic prescribing as a treatment of dementia in British Columbia: physician-level characteristics associated with receiving potentially inappropriate prescriptions","abstract":"Antipsychotic prescribing has increased. One attribute of this is off-label prescribing of antipsychotics to people with dementia to treat behavioural and psychological symptoms, which is not supported by evidence-informed guidelines. This manuscript investigated physician-level factors associated with prescribing antipsychotics to community-dwelling adults with dementia by primary care physicians in British Columbia. Most physician variables were not associated with a patient being dispensed an antipsychotic. A physician’s years in practice was significantly associated with a patient’s risk of receiving an antipsychotic. Patients who received an antipsychotic were older, had lower incomes, used more prescriptions, contacted a physician more, and had higher comorbidity scores compared to patients who did not receive an antipsychotic. Rarity of outcomes, decreased rate of antipsychotic prescriptions, and little indication of practice-variation indicated physicians appropriately prescribe antipsychotics to patients with dementia. Future studies should investigate career-variation, apply similar methodology in regions of Canada, and investigate qualitative factors associated with antipsychotic prescribing at the physician- and patient/caregiver-level.","abstract_html":"Antipsychotic prescribing has increased. One attribute of this is off-label prescribing of antipsychotics to people with dementia to treat behavioural and psychological symptoms, which is not supported by evidence-informed guidelines. This manuscript investigated physician-level factors associated with prescribing antipsychotics to community-dwelling adults with dementia by primary care physicians in British Columbia. Most physician variables were not associated with a patient being dispensed an antipsychotic. A physician’s years in practice was significantly associated with a patient’s risk of receiving an antipsychotic. Patients who received an antipsychotic were older, had lower incomes, used more prescriptions, contacted a physician more, and had higher comorbidity scores compared to patients who did not receive an antipsychotic. Rarity of outcomes, decreased rate of antipsychotic prescriptions, and little indication of practice-variation indicated physicians appropriately prescribe antipsychotics to patients with dementia. Future studies should investigate career-variation, apply similar methodology in regions of Canada, and investigate qualitative factors associated with antipsychotic prescribing at the physician- and patient/caregiver-level.","abstract_has_math":false,"creators":["Littleford, Stephanie"],"institution":"University of Ontario Institute of Technology","degree_name":"Master of Health Sciences (MHSc)","degree_level":null,"degree_discipline":"Community, Public and Population Health","degree_department":null,"school":null,"contributors":[],"advisors":["Rudoler, David"],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023-04-01","date_published":"2023-04-01","updated_at":"2026-07-24T05:35:32Z","subjects":["Prescribing","Primary care","Antipsychotic","Dementia"],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/10155/1610","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Rudoler, David"]},{"key":"dc:creator","label":"Author","values":["Littleford, Stephanie"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2023-04-25T16:14:24Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2023-04-25T16:14:24Z"]},{"key":"dc:date.issued","label":"Date","values":["2023-04-01"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Community, Public and Population Health"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Health Sciences (MHSc)"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Ontario Institute of Technology"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Prescribing","Primary care","Antipsychotic","Dementia"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/10155/1610"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Antipsychotic prescribing has increased. One attribute of this is off-label prescribing of antipsychotics to people with dementia to treat behavioural and psychological symptoms, which is not supported by evidence-informed guidelines. This manuscript investigated physician-level factors associated with prescribing antipsychotics to community-dwelling adults with dementia by primary care physicians in British Columbia. Most physician variables were not associated with a patient being dispensed an antipsychotic. A physician’s years in practice was significantly associated with a patient’s risk of receiving an antipsychotic. Patients who received an antipsychotic were older, had lower incomes, used more prescriptions, contacted a physician more, and had higher comorbidity scores compared to patients who did not receive an antipsychotic. Rarity of outcomes, decreased rate of antipsychotic prescriptions, and little indication of practice-variation indicated physicians appropriately prescribe antipsychotics to patients with dementia. Future studies should investigate career-variation, apply similar methodology in regions of Canada, and investigate qualitative factors associated with antipsychotic prescribing at the physician- and patient/caregiver-level."]},{"key":"dc:title","label":"Title","values":["Antipsychotic prescribing as a treatment of dementia in British Columbia: physician-level characteristics associated with receiving potentially inappropriate prescriptions"]}]}],"canonical_facts":{"dc:contributor.advisor":["Rudoler, David"],"dc:creator":["Littleford, Stephanie"],"dc:date.accessioned":["2023-04-25T16:14:24Z"],"dc:date.available":["2023-04-25T16:14:24Z"],"dc:date.issued":["2023-04-01"],"dc:description.abstract":["Antipsychotic prescribing has increased. One attribute of this is off-label prescribing of antipsychotics to people with dementia to treat behavioural and psychological symptoms, which is not supported by evidence-informed guidelines. This manuscript investigated physician-level factors associated with prescribing antipsychotics to community-dwelling adults with dementia by primary care physicians in British Columbia. Most physician variables were not associated with a patient being dispensed an antipsychotic. A physician’s years in practice was significantly associated with a patient’s risk of receiving an antipsychotic. Patients who received an antipsychotic were older, had lower incomes, used more prescriptions, contacted a physician more, and had higher comorbidity scores compared to patients who did not receive an antipsychotic. Rarity of outcomes, decreased rate of antipsychotic prescriptions, and little indication of practice-variation indicated physicians appropriately prescribe antipsychotics to patients with dementia. Future studies should investigate career-variation, apply similar methodology in regions of Canada, and investigate qualitative factors associated with antipsychotic prescribing at the physician- and patient/caregiver-level."],"dc:identifier.uri":["https://hdl.handle.net/10155/1610"],"dc:language.iso":["en"],"dc:subject":["Prescribing","Primary care","Antipsychotic","Dementia"],"dc:title":["Antipsychotic prescribing as a treatment of dementia in British Columbia: physician-level characteristics associated with receiving potentially inappropriate prescriptions"],"dc:type":["Thesis"],"thesis:degree_discipline":["Community, Public and Population Health"],"thesis:degree_name":["Master of Health Sciences (MHSc)"],"thesis:institution_name":["University of Ontario Institute of Technology"]},"updated_at":"2026-07-24T05:35:32Z"}