Maastricht University, Faculty of Health, Medicine and Life Sciences, School for Public Health and Primary Care (CAPHRI), Department of Health Care and Nursing Science, 6200 MD Maastricht, The Netherlands.
Patient Educ Couns. 2010 Mar;78(3):288-96. doi: 10.1016/j.pec.2010.01.008. Epub 2010 Feb 19.
To improve quality of care, nursing homes need to assess and monitor their performance. This study aims to gain insight in the availability and contents of publicly accessible quality systems in northwestern Europe and the USA.
This study employed a systematic search consisting of searching bibliographic sources from 2005 to September 2009, personal communication with experts, a conventional internet search, and hand-searching of references.
Ten out of the 14 included countries use a quality systems. There is a large variety in type and number of indicators assessed. In general more attention is paid to the assessment of structure and process indicators, compared to outcome indicators. The countries differ in the way the results are made available to the general public.
It can be concluded that monitoring and publicizing data on quality of care in nursing homes is becoming increasingly widespread. However, the systems still need further development and refinement.
The systems need to be further developed regarding validity and reliability. Furthermore, the uniformity of the systems should be increased, more attention must be paid to the assessment of patient satisfaction, and additional insight must be gained in the user-friendliness of the systems.
为了提高护理质量，养老院需要评估和监测其绩效。本研究旨在深入了解北欧和美国可公开获得的质量体系的可用性和内容。
本研究采用系统搜索，包括 2005 年至 2009 年 9 月的文献来源搜索、与专家的个人交流、常规互联网搜索和参考资料的手动搜索。
在纳入的 14 个国家中，有 10 个国家使用质量体系。评估的指标类型和数量差异很大。一般来说，与结果指标相比，更多地关注结构和过程指标的评估。各国在向公众提供结果的方式上存在差异。
可以得出结论，监测和公布养老院护理质量数据的做法正在变得越来越普遍。然而，这些系统仍需要进一步发展和完善。
这些系统需要在有效性和可靠性方面进一步发展。此外，还需要提高系统的统一性，更加关注患者满意度的评估，并进一步了解系统的易用性。
