Does Nursing Home Ownership Change Affect Family Ratings on Experience with Care?
Does Nursing Home Ownership Change Affect Family Ratings on Experience with Care?
复制标题
疗养院所有权的变化是否会影响家庭对护理体验的评分？
DOI：
10.1080/08959420.2015.1053739
复制
发表时间：
2015
影响因子：
5.1
通讯作者：
Li,Yue
中科院分区：
文献类型：
--
作者：
Campbell,LaurenJ;Li,Qinghua;Li,Yue
最近所有权变更的养老院(NHS)可能会受到以人为中心的影响。这项研究确定了所有权变更和报告的护理经历之间的联系，这是马里兰州NHS长期居民以人为中心护理的重要衡量标准。护理体验措施和所有权变更数据收集自马里兰州卫生保健委员会报告，该报告报告了2011年至2012年马里兰州220家NHS的数据。设施和市场协变量从2011年NH比较和地区卫生资源文件中获得。使用线性回归检验2011年所有权变更是否与2012年4月至6月期间报告的较低护理体验评级相关。因变量为总体护理评分(1-10级)，回答他们会推荐NH的受访者百分比，以及对5个护理和住院生活领域的评估(1-4级)。2012年报告的护理体验很高；然而，在控制协变量后，所有权变更与7项指标中的6项显著下降相关，包括总体护理评级下降0.39个百分点(p=0.001)。NH管理者和政策制定者应该考虑在所有权变更后改善以患者为中心的战略。
Person-centeredness may suffer in nursing homes (NHs) with recent ownership changes. This study identifies associations between ownership change and reported care experiences, important measures of person-centered care for long-term residents in Maryland NHs. Care experience measures and ownership change data were collected from Maryland Health Care Commission reports, which reported data on 220 Maryland NHs from 2011 and 2012. Facility and market covariates were obtained from 2011 NH Compare and Area Health Resource Files. Linear regression was used to examine whether ownership change in 2011 was associated with lower care experience ratings reported during April to June 2012. Dependent variables were overall care rating (scale 1–10), percentage of respondents answering that they would recommend the NH, and assessments of five care and resident life domains (scale 1–4). Care experiences reported in 2012 were high; however, after controlling for covariates, ownership change was associated with significant decreases in 6 out of 7 measures, including a 0.39-point decrease in overall care rating (p= .001). NH managers and policy makers should consider strategies to improve patient-centeredness after ownership change.
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