Centre for Policy on Ageing



Does the presence of a dementia special care unit improve nursing home quality?
Author(s)	Andrea Gruneir, Kate L Lapane, Susan C Miller
Journal title	Journal of Aging and Health, vol 20, no 7, October 2008
Pages	pp 837-854
Source	http://www.sagepublications.com
Keywords	Dementia ; Nursing homes ; Management [care] ; Quality ; Evaluation ; United States of America.
Annotation	Data from the US On-line Survey Certification and Reporting system was used to identify 1519 nursing homes (NHs) that first reported a new dementia special care unit (D-SCU) between 1996 and 2003. Fixed effects models estimate the effect of a new D-SCU on the prevalence of each outcome (physical restraints, feeding tubes and psychotropic medication) while controlling for secular trends. For all NHs, the use of physical restraints declined, while the use of anti-psychotics increased and other measures remained relatively constant. The introduction of D-SCU was not associated with changes in trends for any measure. Differences in care processes between NHs with and without D-SCUs are the result of differences in their underlying approach to care, not the result of care practice diffusion from the D-SCU. (RH).
Accession Number	CPA-090903205 A
Classmark	EA: LHB: QA: 59: 4C: 7T
Data © Centre for Policy on Ageing

...from the Ageinfo database published by Centre for Policy on Ageing.