养老院的设施服务环境、人员配备及心理社会护理
Facility service environments, staffing, and psychosocial care in nursing homes.
作者信息
Zhang Ning Jackie, Gammonley Denise, Paek Seung Chun, Frahm Kathryn
机构信息
University of Central Florida, Orlando 32826, USA.
出版信息
Health Care Financ Rev. 2008 Winter;30(2):5-17.
Using 2003 Online Survey Certification and Reporting (OSCAR) data for Medicare and Medicaid certified facilities (N = 14, 184) and multinomial logistic regression this study investigated if (1) psychosocial care quality was better in facilities where State requirements for qualified social services staffing exceeded Federal minimum regulations and (2) facility service environments are associated with psychosocial care quality. For-profit status and higher percentage of Medicaid residents are associated with lower quality. Staffing, market demand, and market competition are associated with better quality. Psychosocial care quality is more associated with payer status and market forces and less with regulatory requirements.
本研究利用2003年医疗保险和医疗补助认证机构的在线调查认证与报告（OSCAR）数据（N = 14,184）以及多项逻辑回归分析，调查了以下两个问题：（1）在州对合格社会服务人员配备的要求超过联邦最低规定的机构中，心理社会护理质量是否更高；（2）机构服务环境是否与心理社会护理质量相关。营利性状态和医疗补助居民比例较高与质量较低相关。人员配备、市场需求和市场竞争与质量较高相关。心理社会护理质量与付款人状态和市场力量的关联更大，而与监管要求的关联较小。
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