Graduate School of Public Health, A610 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA.
Gerontologist. 2010 Jun;50(3):400-7. doi: 10.1093/geront/gnq008. Epub 2010 Feb 12.
Nursing facilities that are determined to have a greater number of quality problems, more serious problems than average, and a demonstrated pattern of quality problems are included in the Special Focus Facility (SFF) initiative. The purpose of this research was to provide descriptive information on these SFFs and to examine the quality characteristics of these facilities.
The 1997 through 2008 On-line Survey, Certification And Reporting data and 2003 through 2008 Nursing Home Compare data were used. Descriptive analyses, including t tests, were used to compare the 2 groups of facilities (i.e., SFF nursing facilities and non-SFF nursing facilities).
Staffing for registered nurses and nurse aides was lower in SFFs; all citations, quality of care citations, and J, K, and L citations were more frequent in SFFs; and quality indicators such as pressure ulcers and use of antipsychotic drugs were more prevalent in SFFs.
SFF targeting would appear to be accurate with respect to nursing facilities having multiple poor quality issues and chronic poor quality.
被确定存在更多质量问题、比平均水平更严重问题且存在明显质量问题模式的护理机构将被纳入特别重点机构（SFF）计划。这项研究的目的是提供这些 SFF 的描述性信息，并检查这些设施的质量特征。
使用了 1997 年至 2008 年在线调查、认证和报告数据以及 2003 年至 2008 年疗养院比较数据。采用描述性分析（包括 t 检验）比较了这两组设施（即 SFF 护理机构和非 SFF 护理机构）。
SFF 中的注册护士和护士助理人员配备较低；所有违规行为、护理质量违规行为以及 J、K 和 L 违规行为在 SFF 中更为频繁；压力性溃疡和使用抗精神病药物等质量指标在 SFF 中更为普遍。
SFF 的目标似乎是准确的，针对的是存在多个质量问题和长期质量差的护理机构。
