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Centre for Policy on Ageing | |
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Targeting and quality of nursing home care
— a five nation study | | Author(s) | G I Carpenter, J P Hirdes, M W Ribbe |
| Journal title | Aging: Clinical and Experimental Research, vol 11, no 2, April 1999 |
| Pages | pp 83-89 |
| Keywords | Nursing homes ; Management [care] ; Quality ; Evaluation ; Cross national surveys ; United States of America ; Denmark ; Iceland ; Italy ; Japan. |
| Annotation | This cross-sectional study used Minimum Data Set (MDS) assessments of nursing home residents in 6 US states, Copenhagen, Reykjavik, and selected locations in Italy and Japan. Its aim was to demonstrate that appropriate targeting and quality monitoring of institutional care is possible using such person-based information. The study found that Japan has the highest life expectancy and the second lowest expenditure on health care. The US had the highest expenditure on health care and intermediate life expectancy. Italy has the highest proportion of population over 65, and the lowest proportion of over 65s in nursing homes. Iceland, a relatively young country, has the highest proportion of over 65s in nursing homes. Residents in Italy and the US had the most severe physical, cognitive and clinical characteristics, those in Iceland the least. There was wide variation in markers of quality of care: no country was either uniformly good or bad across multiple measures. Comparisons of each nations' headline statistics showed no consistent relationships. Local policy and practice also affect quality of care. Standardised assessment using MDS could make a significant contribution to comparative research on nursing home care. (RH). |
| Accession Number | CPA-990715201 A |
| Classmark | LHB: QA: 59: 4C: 3K: 7T: 76K: 76R: 76V: 7DT |
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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