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Centre for Policy on Ageing | |
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| Structure and process quality as predictors of satisfaction with elderly care | | Author(s) | Petri J Kajonius, Ali Kazemi |
| Journal title | Health and Social Care in the Community, vol 24, no 6, November 2016 |
| Publisher | Wiley, November 2016 |
| Pages | pp 699-707 |
| Source | wileyonlinelibrary.com/journal/hsc |
| Keywords | Services ; Social Services Departments ; Quality ; Usage [services] ; Consumer ; Attitude ; Quantitative studies ; Sweden. |
| Annotation | The structure versus process approach to quality of care presented by Avedis Donabedian (Journal of the American Medical Association, 1988) is one of the most often cited. However, there has been a paucity of research into the empirical validity of this framework, specifically concerning the relative effects of structure and process on satisfaction with older people's care, as perceived by the older people themselves. This article presents findings from a national survey conducted in 2012 at the request of the Swedish National Board of Health and Welfare, in which responses from 95,000 older people living in 324 municipalities and districts were obtained. The survey included a wide range of quality indicators for older people's care services. However, the results revealed that the only structural variable which significantly predicted quality of care was staffing, measured in terms of the number of caregivers per older resident. More interestingly, process variables (e.g. respect and access to information) explained 40% and 48% of the variance in satisfaction with care, over and above the structural variables, in home care and nursing homes respectively. The findings from this large nationwide sample examining Donabedian's model suggest that quality in older people's care is primarily determined by factors pertaining to process, that is, how caregivers behave towards older people. This encourages a continued quality improvement in older people's care, with a particular focus on process variables. (RH). |
| Accession Number | CPA-170120270 A |
| Classmark | I: PF: 59: QLD: WY: DP: 3DQ: 76P |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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