Does the presence of a dementia special care unit improve nursing home quality?
Does the presence of a dementia special care unit improve nursing home quality?
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DOI：
10.1177/0898264308324632
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发表时间：
2008-10-01
影响因子：
2.8
通讯作者：
Mor, Vincent
中科院分区：
文献类型：
--
作者：
Gruneir, Andrea;Lapane, Kate L.;Mor, Vincent
目的：本研究量化了一个新的痴呆症特别护理单元（D-SCU）对护理提供给所有居民在养老院（NH）的影响。方法：作者使用来自在线调查认证和报告系统的数据来确定1996年至2003年期间首次报告D-SCU的独立NH（N = 1，519）。固定效应模型估计新的D-SCU对每个结果（身体约束，喂食管和精神药物）的患病率的影响，同时控制长期趋势。结果：对于所有的NH，使用身体限制下降，使用抗精神病药物增加，其他措施保持相对稳定。D-SCU的引入与任何措施的趋势变化无关。讨论内容：有和没有D-SCU的NHS之间的护理过程的差异是其基本护理方法差异的结果，而不是D-SCU的护理实践扩散的结果。
Objective: This study quantifies the effect of a new dementia special care unit (D-SCU) on the provision of care to all residents in a nursing home (NH). Method: The authors use data from the On-line Survey Certification and Reporting system to identify free-standing NHs that first reported a D-SCU between 1996 and 2003 (N = 1,519). Fixed-effects models estimate the effect of a new D-SCU on the prevalence of each outcome (physical restraints, feeding tubes, and psychotropic medications) while controlling for secular trends. Results: For all NHs, the use of physical restraints declined, the use of antipsychotics increased, and other measures remained relatively constant. The introduction of a D-SCU was not associated with changes in trends for any measure. Discussion: Differences in care processes between NHs with and without D-SCUs are the result of differences in their underlying approach to care, not the result of care practice diffusion from the D-SCU.