Gustafson D H, Sainfort F C, Van Konigsveld R, Zimmerman D R
Department of Industrial Engineering, University of Wisconsin-Madison 53706.
Health Serv Res. 1990 Apr;25(1 Pt 1):97-127.
There have been few detailed evaluations of measures of quality of care in nursing homes. This is unfortunate because it has meant that much research on factors affecting nursing home quality has used measures of questionable reliability and validity. Moreover, some measures currently in use have been developed using methodologies not based on solid conceptual grounds, offering little reason to expect them to have much internal or external validity. In this article we suggest characteristics that should be present in measures of nursing home quality, propose a methodology for the development of such measures, propose a specific nursing home quality measure (the Quality Assessment Index or QAI), and report the results of several tests of its validity and reliability.
对养老院护理质量衡量标准进行详细评估的研究很少。这很遗憾,因为这意味着许多关于影响养老院质量因素的研究使用了可靠性和有效性存疑的衡量标准。此外,目前使用的一些衡量标准是采用并非基于坚实概念基础的方法制定的,几乎没有理由期望它们具有很高的内部或外部效度。在本文中,我们提出了养老院质量衡量标准应具备的特征,提出了制定此类衡量标准的方法,提出了一个具体的养老院质量衡量标准(质量评估指数或QAI),并报告了对其效度和信度进行的几项测试结果。