Institute for Health & Aging, University of California, San Francisco, 3333 California Street, Suite 340, San Francisco, CA 94118, USA.
J Aging Health. 2010 Sep;22(6):772-803. doi: 10.1177/0898264310366737. Epub 2010 May 21.
Long-term care (LTC) ombudsman advocate for the health, safety, welfare, and rights of residents in LTC facilities. This article examines factors associated with self-rated effectiveness of local LTC Ombudsman Programs (LTCOPs) in California and New York across the five statutorily mandated activities under the Older Americans Act: complaint investigation, resident/family education, community education, monitoring laws, and policy advocacy.
Data were collected from telephone interviews with coordinators of local LTCOPs in California and New York and from the National Ombudsman Reporting System. Analyses examined factors associated with effectiveness: program size, resource adequacy, organizational autonomy, interorganizational relationships, and program outputs.
Resource and autonomy measures are significantly associated with different effectiveness measures in each state. Staff full-time equivalencies and coordinator hours per week in New York and the quality of training in California are significantly associated with effectiveness in most mandated activities.
Findings highlight variability within and between the local LTCOPs in California and New York.
长期护理（LTC）监察员倡导维护长期护理机构居民的健康、安全、福利和权利。本文研究了加利福尼亚州和纽约州的地方长期护理监察员计划（LTCOPs）在《美国老年人法》规定的五项法定活动下的自我评估有效性的相关因素：投诉调查、居民/家庭教育、社区教育、监督法律和政策倡导。
数据来自加利福尼亚州和纽约州地方 LTCOPs 协调员的电话访谈以及国家监察员报告系统。分析检验了与有效性相关的因素：计划规模、资源充足性、组织自主性、组织间关系和计划产出。
资源和自主性措施与每个州的不同有效性措施显著相关。纽约的工作人员全职当量和协调员每周工作时间，以及加利福尼亚的培训质量与大多数法定活动的有效性显著相关。
研究结果突出了加利福尼亚州和纽约州的地方 LTCOPs 之间和内部的可变性。
