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Benchmarking and quality in residential and nursing homes
 — lessons from the US
Author(s)Vincent Mor, J Angelelli, D Gifford
Journal titleInternational Journal of Geriatric Psychiatry, vol 18, no 3, March 2003
Pagespp 258-266
KeywordsCare homes ; Nursing homes ; Standards of provision ; Performance ; Evaluation ; United States of America.
AnnotationPerformance measuring and benchmarking are common concerns in the delivery of long term care. It is common to measure the performance of providers and to report these data publicly. This paper examines selected technical challenges facing those who design, implement and disseminate health care quality performance measures. The author uses examples drawn from the skilled nursing home arena in the US to discuss problems ranging from data reliability and validity, the multi-dimensional nature of quality measures and selection bias, as well as differential measurement abilities. Benchmarking of performance is an inherently complex issue. However, to ensure that such comparisons are both fair and valid requires measures to be more technically sophisticated and sensitive to real changes attributable to changes in care. (RH).
Accession NumberCPA-030425220 A
ClassmarkKW: LHB: 583: 5H: 4C: 7T

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