A Longitudinal Assessment of the Effect of Resident‐Centered Care on Quality in Veterans Health Administration Community Living Centers
| Autor: | Kelly Stolzmann, Jennifer L. Sullivan, James F. Burgess, Melissa K Afable, Michael Shwartz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Gerontology
Male Longitudinal study media_common.quotation_subject Patient Experience and Patient‐Centered Care urologic and male genital diseases 03 medical and health sciences 0302 clinical medicine Patient-Centered Care Medicine Homes for the Aged Humans Quality (business) 030212 general & internal medicine Longitudinal Studies Adverse effect media_common Aged Quality Indicators Health Care Quality of Health Care Retrospective Studies Data collection business.industry 030503 health policy & services Health Policy Incidence (epidemiology) Secondary data Organizational Culture female genital diseases and pregnancy complications United States Nursing Homes United States Department of Veterans Affairs Negative relationship Female 0305 other medical science business Demography Qualitative research |
| Popis: | Objective To examine whether changes in resident-centered care (RCC) over time were associated with changes in quality. Data Sources/Study Setting Data sources were the Minimum Dataset quality indicators (which consist of measures of both prevalence and incidence of adverse events) and the Artifacts of Culture Change Tool (which measures RCC; FYs 2009–2012) from 130 Veterans Health Administration community living centers. Study Design A retrospective longitudinal study. Data Collection/Extraction Methods Data were from VA secondary data sources. Principal Findings The overall relationship between RCC and quality was not statistically significant (p = .22), although there was a weakly significant negative relationship (i.e., increased RCC was associated with poorer quality) in the seven quarters after implementation of an automated version of the Artifacts Tool (p = .08). In facility-specific analyses, there were 15 facilities with a weakly significant (p |
| Databáze: | OpenAIRE |
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