Understanding Physician Variation in High Risk Medication Prescribing Among Hospitalized Older Adults
Overuse is the provision of care where the potential for harm exceeds the potential for benefit and has been identified as a significant contributor to the high cost of health care. High risk medications are a significant overuse issue in elderly patients. Inappropriate medication prescribing in older adults is a major public health concern due to its high prevalence, associated negative outcomes, morbidity, hospitalization, health services use, and increased costs. Excessive variation in physician practice represents an important, but poorly understood, source of PIM prescribing. Measuring and identifying the drivers of physician variation in PIM prescribing would inform the development of interventions to reduce it. In this work, we propose to measure physician variation in PIM prescribing and to conduct a survey of hospitalists to understand how physician attitudes and beliefs are associated with PIM. These results will then inform the development of a nudge intervention to reduce PIM prescribing.