Joint commission accreditation and quality measures in U.S. nursing homes.
Joint commission accreditation and quality measures in U.S. nursing homes.
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DOI：
10.1177/1527154412443990
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发表时间：
2012-02-01
期刊：
影响因子：
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通讯作者：
Castle, Nicholas G
中科院分区：
文献类型：
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作者：
Wagner, Laura M;McDonald, Shawna M;Castle, Nicholas G
本研究探讨了美国养老院的认证和质量选择措施之间的关联，无论是跨部门的，随着时间的推移。本研究中分析的数据来源于联合委员会（TJC）认可的设施和护理之家比较质量措施集的基于网络的搜索，这些措施与身体约束使用，疼痛管理，导尿管使用和压疮有关。五星级护理之家质量评级系统的信息也被用来计算整体质量措施和健康检查得分。使用负二项回归分析数据。将认证前一年的质量与认证后第一年的质量进行比较，所有五项质量指标和两个五星级类别都有所改善。在经过8年的认证后进行质量比较时，所审查的三项质量措施继续改善。没有出现认证与质量下降有关的情况。这些结果表明，TJC认证的疗养院提高他们的质量认证后立即，但不继续改善在所有领域随着时间的推移。
This study examines the association between accreditation and select measures of quality in U.S. nursing homes, both cross-sectionally and over time. Data analyzed in this research originated from a web-based search of The Joint Commission (TJC) accredited facilities and the Nursing Home Compare set of Quality Measures relating to physical restraint use, pain management, urinary catheter use, and pressure sores. Five-Star Nursing Home Quality Rating System information was also used to calculate overall quality measure and health inspection scores. Data were analyzed using negative binomial regression. Comparing quality in the year before accreditation with the 1st year after accreditation, all five Quality Measures and both Five-Star categories demonstrated improvement. In comparing quality after 8 years of accreditation, three of the Quality Measures examined continued to improve. There were no cases where accreditation was associated with decreased quality. These results indicate that TJC accredited nursing homes improve their quality immediately after accreditation but do not continue to improve in all areas over time.