SATISFACTION OF DISCHARGED NURSING HOME RESIDENTS

描述（由申请人提供）：CAHPS(R)养老院出院居民体验调查（NHCAHPS-D）仍有待完善。没有使用调查，因为关于其内容或可靠性的信息很少，因为没有足够的样本量来确定该工具。我们建议全面测试NHCAHPS-D的心理测量特性，并广泛公布研究结果，包括发布基准标准。有证据表明，NHCAHPS-D具有相当大的相关性。在过去的几十年里，养老院的护理发生了很大的变化。最近公布的统计数据显示，在养老院接受照顾的老人中，有一半以上已经出院回家。此外，当将现居老人的满意度信息与出院老人的满意度信息进行比较时，存在显著差异。这表明这些人在养老院有不同的需求。在养老院收集满意度信息是很重要的。测量和报告对养老院护理的满意度可能对帮助机构提高某些方面的质量很重要。NHCAHPS-D可能对设施有用，因为它是一种邮件调查，可以很容易地在养老院实施，而且成本低廉。测量和报告对护理的满意度对于帮助老年人及其家人选择养老院可能很重要。因此，NHCAHPS-D可能与养老院的护理有关。充分测试这一工具并鼓励其广泛使用似乎是有益的。

DESCRIPTION (provided by applicant): The CAHPS(R) Nursing Home Survey of discharged nursing home residents' experiences (NHCAHPS-D) remains to be fully developed. The survey is not used because little information exists on its content or reliability since there was insufficient sample size to finalize the instrument. We propose to comprehensively test the psychometric properties of the NHCAHPS-D, and widely publish the findings including publishing benchmarking standards. Evidence would suggest that NHCAHPS-D has considerable relevance. Over the past several decades care in nursing homes has changed substantially. Statistics recently released show that more than half of all elders cared for in nursing homes are now discharged home. Moreover, when satisfaction information from current residents is compared with those of elders discharged home substantial differences exist. This would indicate that these are different populations with different needs in the nursing home. Collecting satisfaction information in the nursing home is important. Measuring and reporting satisfaction with nursing home care may be important in helping facilities improve some aspects of quality. NHCAHPS-D may be useful for facilities because it is a mail survey that can be easily and inexpensively implemented by nursing homes. Measuring and reporting satisfaction with care may be important in helping elders and their families choose a nursing home. Thus, the NHCAHPS-D could be potentially relevant to care in nursing homes. It would appear beneficial to fully test this instrument and encourage its widespread use. PUBLIC HEALTH RELEVANCE: Resident satisfaction is a very important aspect of care. Resident satisfaction can be useful in choosing a nursing home that is best suited to the elder. Resident satisfaction information can be used by nursing homes to improve quality. Moreover, more satisfied residents are likely to have better health outcomes.