Monitoring the outcomes of quality of care in nursing homes using administrative data
Monitoring the outcomes of quality of care in nursing homes using administrative data
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DOI：
10.1017/s0714980800016445
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发表时间：
1995-12-01
影响因子：
1.9
通讯作者：
Tate, RB
中科院分区：
文献类型：
--
作者：
Shapiro, E;Tate, RB
在控制年龄、性别和依赖程度的情况下，使用常规收集的行政数据和Cox比例风险模型来比较护理结果。结果表明，马尼托巴省养老院护理的总体质量是好的，但某些地区和某些类型的养老院的居民的具体结果比其他人差。这些结果指标不应被视为较差护理的明确迹象，而应被视为“触发因素”，表明需要进行更仔细的研究，因为本研究中使用的方法和结果仍处于实验阶段。结果还表明，二手数据提供了一个相对便宜的起点，以评估养老院护理的结果。
Routinely-collected administrative data and Cox's proportional hazards models are used to compare outcomes of care while controlling for age, sex and dependency level. The results indicate that the overall quality of nursing home care in Manitoba is good but that residents in certain regions and in certain types of nursing homes have specific outcomes that are poorer than others. These outcome indicators must not be treated as definitive signs of poorer care but as ''triggers'' suggesting a need for a closer look because the methodology and outcomes used in this study are still in the experimental stage. The results also indicate that secondary data provide a relatively inexpensive starting point for evaluating outcomes of nursing home care.