The Relationship of Ownership and Size to Quality of Care in Wisconsin Nursing Homes

The residential aged care industry in Australia will expand rapidly over the next 10 years leading to substantial increases in government expenditure. Recent and future reforms are likely leading to changes in the structure of the industry with a potential impact on quality of care. The purpose of this paper is to stimulate broader public debate, based on the available evidence, about the preferred structure of this important industry. It examines the literature on the impact structure has on the quality of services and compares this with a fresh analysis of current trends. The paper argues that future policy should be evidence based and explicit about the structure of the industry that will emerge from current policy reforms.

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“…; Pearson et al. ; Riportella‐Muller & Slesinger ), although there is variation in the research findings reported (Bravo et al. ; Li et al.…”

Section: Introductionmentioning

confidence: 97%

Residential Aged Care Policy in Australia – Are We Learning from Evidence?

2015

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“…Several studies on nursing home quality have been published outside Scandinavia during the last decades (1)(2)(3)(4)(5)(6). A diversity of quality indicators were used: expenditure, staff/patient ratio, building features, beds per room, diet plans, care plans, nursing services, resident care, quality of life, violations, complaints.…”

Section: Introductionmentioning

confidence: 99%

Nursing Home Quality: Different Perspectives among Residents, Relatives And Staff, a Qualitative Study

Gjerberg¹

1995

Nordic Journal of Nursing Research

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ARWRAC~ In Scandinavia only afeii~ studies have explicitly focused on nursinghome quality, and the views of residents and relatives have rarely been investkated. The purpose of thisstudy was to understand what nursing home quality means to residents, relatives and stafj 46 informantsfiom six n wsing homes were interviewed, and the same intervieivguide with eleven open ended questions was used for all threegroups. Main concerns relevant to natrsipg home quality mentioned by allpoiips were: 1) Social activities, 2) A sirgle room when wanted, 3) Enoigh time for staJ to spend with the residents, and 4)

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“…This suggests that the perceptions of the respondents may reflect, to some extent, the demands of organizational context. Large, for-profit facilities have more quality of care problems (Riportella-Muller & Slesinger, 1982) and are probably viewed as less desirable for professional practice. A nursing home that is part of the same system as a local hospital may be pressured to provide more sub-acute type services than one which is independent.…”

Section: Summary and Discussionmentioning

confidence: 99%

Interorganizational Linkages and Service and Personnel Shortages in Rural Nursing Homes

et al. 1996

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Increased demands on nursing homes for more diversified and technically complex services pose particular challenges for rural facilities. Because coordinating mechanisms have been proposed as a management strategy to deal with these issues, we studied the relationship between interorganizational linkages and shortages of personnel and services in a sample of 152 rural Pennsylvania nursing homes. Significant shortages of health care personnel that are central to long-term care were reported, as were shortages of services, especially for ventilator-dependent and demented residents. Although no evidence exists that coordination efforts were effective remedies to these problems in early 1992, it is apparent that managing patient/resident flows between hospitals and nursing homes through contractual agreements and other forms of "coordination" was identified as a strategy. Further research is required to assess the effectiveness of these types of agreements in terms of ensuring the continuity and quality of long-term care services in rural areas.

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The Relationship of Ownership and Size to Quality of Care in Wisconsin Nursing Homes

Cited by 49 publications

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Residential Aged Care Policy in Australia – Are We Learning from Evidence?

Residential Aged Care Policy in Australia – Are We Learning from Evidence?

Nursing Home Quality: Different Perspectives among Residents, Relatives And Staff, a Qualitative Study

Interorganizational Linkages and Service and Personnel Shortages in Rural Nursing Homes

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