PSSRU, University of Kent, Cornwallis Building University of Kent, Canterbury CT2 7NF, UK.
Age Ageing. 2012 Jul;41(4):512-7. doi: 10.1093/ageing/afs050. Epub 2012 Apr 27.
quality ratings of care homes are used by decision makers in the absence of direct information about outcomes. However, there is little evidence about the relationship between regulators' ratings of homes and residents' quality of life outcomes.
to capture social care-related quality of life (SCRQoL) outcomes for residents and investigate the relationship between outcomes and regulator quality ratings of homes.
data were collected for 366 residents of 83 English care homes for older people inspected during 2008. Outcomes were measured using the Adult Social Care Outcomes Toolkit (ASCOT). Multivariate multilevel modelling was used to investigate the relationship between quality of life outcomes and star ratings of homes, controlling for resident and home characteristics.
care homes were delivering substantial gains in SCRQoL, but were more successful in delivering 'basic' (e.g. personal cleanliness) than higher-order domains (e.g. social participation). Outcomes were associated with quality ratings of residential homes but not of nursing homes.
the approach to providing quality ratings by the regulator in England is currently under review. Future quality indicators need to demonstrate their relationship with quality of life outcomes if they are to be a reliable guide to commissioners and private individuals purchasing care.
在缺乏有关结果的直接信息的情况下，决策者使用养老院的质量评级。然而，关于监管机构对养老院的评级与居民生活质量结果之间的关系的证据很少。
捕捉居民的社会护理相关生活质量（SCRQoL）结果，并调查结果与家庭监管者质量评级之间的关系。
在 2008 年期间对 83 家为老年人服务的英国养老院的 366 名居民进行了数据收集。使用成人社会护理结果工具包（ASCOT）来衡量结果。使用多变量多层次模型，在控制了居民和家庭特征的情况下，调查了生活质量结果与家庭星级评定之间的关系。
养老院在 SCRQoL 方面取得了实质性的收益，但在提供“基本”（例如个人卫生）方面比提供更高阶的领域（例如社交参与）更为成功。结果与住宅养老院的质量评级有关，但与护理院的质量评级无关。
目前，英格兰监管机构提供质量评级的方法正在审查中。如果未来的质量指标要成为负责购买护理的委员会和私人的可靠指南，则需要证明它们与生活质量结果之间的关系。
