Purchasing or providing nursing home care: Can quality of care data provide guidance
Purchasing or providing nursing home care: Can quality of care data provide guidance
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DOI：
10.1111/j.1532-5415.2005.53207.x
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发表时间：
2005-04-01
影响因子：
6.3
通讯作者：
Mukamel, DB
中科院分区：
文献类型：
--
作者：
Berlowitz, DR;Rosen, AK;Mukamel, DB
目标：研究退伍军人事务部（VA）疗养院的护理质量是否与社区疗养院的合同护理质量不同，以及VA是否与提供比其他疗养院更好的护理质量的疗养院签订合同。设计：观察性研究，使用1997年至1999年的行政数据库。4763名退伍军人和195,438名非退伍军人在这些疗养院的居民。测量：压疮发展，功能下降，行为下降和死亡率的风险调整率。结果：退伍军人疗养院的退伍军人显着（P
OBJECTIVES: To examine whether quality of care differed for veterans in Department of Veterans Affairs (VA) nursing homes and those on contract in community nursing homes and whether the VA was contracting with nursing homes providing better quality of care than other nursing homes.DESIGN: Observational study using administrative databases from 1997 to 1999.SETTING: Ten VA and 650 community nursing homes in New York state.PARTICIPANTS: Four thousand seven hundred sixty-three veteran and 195,438 nonveteran residents of these nursing homes.MEASUREMENTS: Risk-adjusted rates of pressure ulcer development, functional decline, behavioral decline, and mortality.RESULTS: Veterans in VA nursing homes were significantly (P