1 The University of Alabama, Tuscaloosa, USA.
J Appl Gerontol. 2018 Mar;37(3):349-370. doi: 10.1177/0733464816642583. Epub 2016 Apr 17.
The purpose of this study was to identify structural, market, and administrator factors of nursing homes that are related to the implementation of person-centered care. Administrators of Medicare/Medicaid-certified nursing homes in the Deep South were invited to complete a standardized survey about their facility and their perceptions and attitudes regarding person-centered care practices (PCCPs). Nursing home structural and market factors were obtained from public websites, and these data were matched with administrator data. Consistent with the resource-based theory of competitive advantage, nursing homes with greater resources and more competition were more likely to implement PCCPs. Implementation of person-centered care was also higher in nursing homes with administrators who perceived culture change implementation to be feasible in their facilities. Given that there is a link between resource availability and adoption of person-centered care, future research should investigate the cost of such innovations.
本研究旨在确定与实施以患者为中心的护理相关的养老院的结构、市场和管理人员因素。邀请了美国南部各州的医疗保险/医疗补助认证养老院的管理人员填写一份关于其机构以及他们对以患者为中心的护理实践（PCCP）的看法和态度的标准化调查。养老院的结构和市场因素从公共网站获得，并将这些数据与管理人员的数据相匹配。与竞争优势的基于资源的理论一致，资源更多且竞争更激烈的养老院更有可能实施 PCCP。在管理人员认为其机构实施文化变革是可行的养老院中，实施以患者为中心的护理的比例也更高。鉴于资源可用性与采用以患者为中心的护理之间存在联系，未来的研究应该调查这些创新的成本。
