Associations Between Family Ratings on Experience With Care and Clinical Quality-of-Care Measures for Nursing Home Residents.
Associations Between Family Ratings on Experience With Care and Clinical Quality-of-Care Measures for Nursing Home Residents.
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DOI：
10.1177/1077558715596470
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发表时间：
2016-02
期刊：
影响因子：
--
通讯作者：
Tang Y
中科院分区：
文献类型：
--
作者：
Li Y;Li Q;Tang Y
一些州目前正在收集并公开报告疗养院居民和/或家庭成员的护理经验评级，以期改善疗养院以人为本的护理。本研究利用 2008 年马里兰州疗养院家庭调查报告和其他数据，进行了设施层面和居民层面的分析，并在对居民特征进行调整后，估计了家庭护理评级与一些长期护理质量指标（压疮、总体和可能避免的住院治疗以及死亡率）之间的关系。我们发现，家庭对护理的总体和具体方面进行更好的评估可能与机构层面风险调整措施率的降低有关（相关系数范围：-0.01 至 -0.31）。在对护士人员配置水平等常见疗养院特征进行进一步调整后，总体经验评级的关联往往会持续存在。我们的结论是，疗养院护理的家庭评级补充了其他类型的绩效衡量标准，例如风险调整结果。
Several states are currently collecting and publicly reporting nursing home resident and/or family member ratings of experience with care in an attempt to improve person-centered care in nursing homes. Using the 2008 Maryland nursing home family survey reports and other data, this study performed both facility- and resident-level analyses, and estimated the relationships between family ratings of care and several long-term care quality measures (pressure ulcers, overall and potentially-avoidable hospitalizations, and mortality) after adjustment for resident characteristics. We found that better family evaluations of overall and specific aspects of care may be associated with reduced rates of risk-adjusted measures at the facility level (range of correlation coefficients: −0.01 to −0.31). Associations of overall experience ratings tended to persist after further adjustment for common nursing home characteristics such as nurse staffing levels. We conclude that family ratings of nursing home care complement other types of performance measures such as risk-adjusted outcomes.