Graduate School of Public Health, Pittsburgh, PA 15261, USA.
Gerontologist. 2010 Aug;50(4):519-30. doi: 10.1093/geront/gnq006. Epub 2010 Feb 12.
Special Focus Facilities (SFFs) are nursing facilities designated by the Centers for Medicare & Medicaid Services to be of chronic poor quality. Relatively few nursing facilities are included in this initiative. The purpose of this research was to examine whether nursing facilities included in the 2007 SFF initiative subsequently influenced the quality of other facilities in their market.
The 2007 On-line Survey, Certification and Reporting data and 2007 through 2008 Nursing Home Compare data were used. Multivariate analyses examining the quality indicators at the county level were used to examine the market influence of SFFs.
Of the 135 nursing facilities included in the 2007 SFF initiative, 58 (i.e., 42%) have shown significant improvement in quality. When examining all nursing facilities, of the 22 multivariate models 6 showed that the quality indicators of non-SFFs were significantly different in counties with SFFs. When examining nursing facilities with the lowest quality, of the 22 multivariate models 10 showed that the quality indicators of non-SFFs were significantly different in counties with SFFs.
The use of the SFF initiative may have influenced aggregate market level nursing facility quality.
特别关注设施（SFF）是医疗保险和医疗补助服务中心指定的护理设施，其质量长期较差。相对较少的护理设施包含在这一倡议中。这项研究的目的是研究 2007 年 SFF 倡议中包含的护理设施是否随后影响了其所在市场中其他设施的质量。
使用了 2007 年在线调查、认证和报告数据以及 2007 年至 2008 年养老院比较数据。使用多变量分析检查县一级的质量指标，以检查 SFF 的市场影响。
在 2007 年的 SFF 倡议中包含的 135 家护理设施中，有 58 家（即 42%）的质量有显著改善。在检查所有护理设施时，在 22 个多变量模型中有 6 个显示 SFF 县的非 SFF 质量指标有显著差异。在检查质量最低的护理设施时，在 22 个多变量模型中有 10 个显示 SFF 县的非 SFF 质量指标有显著差异。
SFF 倡议的使用可能影响了整体市场层面的护理设施质量。
