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Resident satisfaction surveys and clinical quality of care in nursing homes
 — two sides of the same coin?
Author(s)Dana B Nukamel, Charlene Harrington
Journal titleAging Health, vol 9, no 6, December 2013
PublisherFuture Medicine, December 2013
Pagespp 607-609
Sourcewww.futuremedicine.com
KeywordsNursing homes ; Care homes ; Quality ; Evaluation ; Quality of life ; Residents [care homes] ; Attitude.
AnnotationQuality of nursing homes is a complex, multidimensional construct. Any discussion of quality of care has to begin by recognising that nursing homes provide services along two important dimensions - a hotel dimension and a clinical dimension. While it is relatively easy to assess the quality of hotel services that a nursing home provides, it is harder to assess clinical quality as this would require access to a large repository of data about a large number of residents as well as expertise to analyse clinical and statistical data. In the United States, four types of quality have been developed and adopted for regulatory and report card use. These are: (1) measures based on patient health outcomes and processes; (2) measures based on violations of quality regulations; (3) measures based on staffing levels and (4) measures based on surveys of residents and family members. In the latter type of measure, residents and families are likely to be reliable reporters of hotel quality but their ability to discuss clinical quality may be limited. The bottom line is that these dual aspects of nursing home care require a double-pronged approach to quality assessment. The challenge facing governments is to develop reliable sources of information on clinical quality, as well as to obtain information on the hotel dimensions of quality. (JL).
Accession NumberCPA-160614004 A
ClassmarkLHB: KW: 59: 4C: F:59: KX: DP

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