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Centre for Policy on Ageing | |
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| An assessment of strategies for improving quality of care in nursing homes | | Author(s) | Joshua M Wiener |
| Journal title | The Gerontologist, vol 43, special issue II, April 2003 |
| Pages | pp 19-27 |
| Keywords | Nursing homes ; Management [care] ; Quality ; Evaluation ; Literature reviews ; United States of America. |
| Annotation | Quality of care in US nursing homes is a major issue for which there is no simple solution. This article reviews the research literature on eight strategies: strengthening the regulatory process; improving information systems for quality monitoring; strengthening the caregiving workforce; providing consumers with more information; strengthening consumer advocacy; increasing Medicare and Medicaid reimbursement; developing and implementing practice guidelines; and challenging the culture of nursing facilities. Although individual approaches vary, several themes emerge. Firstly, several strategies require substantially more resources and will increase costs. Secondly, the research literature does not provide much guidance as to the effectiveness of these options. Thirdly, several strategies assume a degree of data sophistication on the part of nursing homes that may not exist. Fourthly, regulation is likely to continue to be the main strategy for quality assurance. Finally, the political saliency of nursing home quality issues is uneven. (RH). |
| Accession Number | CPA-030611203 A |
| Classmark | LHB: QA: 59: 4C: 64A: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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