Regular Visitors Are Not Good Substitutes for Assessment of Elderly Patient Satisfaction With Nursing Home Care and Services

Gasquet, Isabelle; Dehé, Sophie; Gaudebout, Pierre; Falissard, Bruno

doi:10.1093/gerona/58.11.m1036

Cited by 32 publications

(22 citation statements)

References 34 publications

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“…Second, recall bias and non-response bias may be concerns when using consumer surveys although the Maryland nursing home family care experience surveys achieved consistently high response rates over years. 28,29 Third, our multivariate analyses comparing care experience scores over facility groups relied largely on cross-sectional identification of ownership types, and we cannot totally rule out bias due to unobserved factors that are correlated with both chain ownership and the outcomes. For example, Culture Changes, which were more likely to be implemented in nonprofit and in independent facilities, were found to have impacted clinical outcomes, quality of care, quality of life, and other resident and staff outcomes.…”

Section: Discussionmentioning

confidence: 99%

Do Nursing Home Chain Size and Proprietary Status Affect Experiences With Care?

You

Intrator

et al. 2016

Medical Care

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Background In 2012, over half of nursing homes were operated by corporate chains. Facilities owned by the largest for-profit chains were reported to have lower quality of care. However, it is unknown how nursing home chain ownerships are related with experiences of care. Objectives To study the relationship between nursing home chain characteristics (chain size and profit status) with patients' family member reported ratings on experiences with care. Data Sources and Study Design Maryland nursing home care experience reports, the Online Survey, Certification, And Reporting (OSCAR) files, and Area Resource Files are used. Our sample consists of all non-governmental nursing homes in Maryland from 2007 to 2010. Consumer ratings were reported for: overall care; recommendation of the facility; staff performance; care provided; food and meals; physical environment; and autonomy and personal rights. We identified chain characteristics from OSCAR, and estimated multivariate random effect linear models to test the effects of chain ownership on care experience ratings. Results Independent nonprofit nursing homes have the highest overall rating score of 8.9, followed by 8.6 for facilities in small nonprofit chains, and 8.5 for independent for-profit facilities. Facilities in small, medium and large for-profit chains have even lower overall ratings of 8.2, 7.9, and 8.0, respectively. We find similar patterns of differences in terms of recommendation rate, and important areas such as staff communication and quality of care. Conclusions Evidence suggests that Maryland nursing homes affiliated with large- and medium- for-profit chains had lower ratings of family reported experience with care.

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Section: Discussionmentioning

confidence: 99%

Do Nursing Home Chain Size and Proprietary Status Affect Experiences With Care?

You

Intrator

et al. 2016

Medical Care

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“…This measure ranges from 0 to 1, with scores of 0 indicating no agreement beyond chance alone. Excellent, good, moderate, and poor agreement scores are at levels of >0.80, 0.80–0.60, 0.41–0.59, and <= 0.4, respectively (Gasquet et al, 2003). …”

Section: Methodsmentioning

confidence: 99%

Safety culture of nursing homes

Castle

Wagner²,

Ferguson³

et al. 2011

Health Care Management Review

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Background Examining the perception of the patient safety culture (PSC) of top managers in healthcare settings is important because their orientation to PSC can have a large influence on the facility. Purposes In this research, the perception of the PSC of Nursing Home Administrators (NHAs) and Directors of Nursing (DONs) is examined. Methodology/Approach Primary data were collected to examine the opinions of the PSC from NHAs and DONs. Information was collected from a large nationally representative sample of 4,000 nursing homes. The Nursing Home Survey on Patient Safety Culture (NHSPSC) survey instrument was used as a measure of PSC. This has 12 domains and 38 items. Bias indexes, intraclass correlation coefficients, and Pearson’s product-moment correlation coefficients of the differences between NHA and DON item scores were examined. Findings Using a 0–100 scale, most scores fell into the 55–80 range. Higher scores represent a higher (more favorable) PSC. Agreement between the NHA and DON was excellent for 10 items, good in 15 items, moderate in 4 items, and poor in 8 items. Of the 4 largest differences in scores, the NHA scores were higher than the DON scores for one item and DON scores were higher than the NHA scores for 3 items. Implications The overall perception from both NHAs and DONs, would appear to represent a somewhat “positive” outlook from these top managers on their institution’s PSC. However, NHAs in general report higher scores than DONs. The areas of divergence between these top managers are further discussed, with a view towards directing future patient safety investigations and initiatives in nursing homes.

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“…(32,33) Thus, although family member surveys are an alternative and easily used source of satisfaction information, they should not, in general, substitute for direct surveys of nursing home residents. In the future states might consider collecting data from both residents and their family members, as well as collecting separate data for short-term and long-term residents because of the differences in their care needs and expected outcomes.…”

Section: Policy Implicationsmentioning

confidence: 99%

Satisfaction With Massachusetts Nursing Home Care Was Generally High During 2005–09, With Some Variability Across Facilities

Cai

et al. 2013

Health Affairs

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Since 2005 Massachusetts has publicly reported results from biennial surveys of satisfaction with nursing homes, completed by responsible parties for residents, to promote consumer-centered care. Our analysis of the results from 2005, 2007, and 2009 revealed generally high satisfaction with care, which remained stable over time. On a scale of 1 to 5 (from very dissatisfied to very satisfied), average satisfaction with overall care was 4.22–4.31 and satisfaction that overall residents’ needs were met was 4.09–4.16; 89.9–90.1 percent of respondents would recommend the facility. Satisfaction ratings varied considerably across facilities, with higher scores associated with higher nursing staffing levels, fewer deficiency citations, and nonprofit or government ownership. Scores for six domains of care were, in general, closely associated with satisfaction scores. However, family members seemed less satisfied with the physical and social activities available to residents and with the food and meals served than with such attributes as the physical environment. Our findings suggest that including the consumer's perspective would improve the Centers for Medicare and Medicaid Services’ current nursing home reporting efforts, but that refinements may be necessary to detect the impact of consumer reporting on the quality of patient-centered care.

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Regular Visitors Are Not Good Substitutes for Assessment of Elderly Patient Satisfaction With Nursing Home Care and Services

Cited by 32 publications

References 34 publications

Do Nursing Home Chain Size and Proprietary Status Affect Experiences With Care?

Do Nursing Home Chain Size and Proprietary Status Affect Experiences With Care?

Safety culture of nursing homes

Satisfaction With Massachusetts Nursing Home Care Was Generally High During 2005–09, With Some Variability Across Facilities

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