Liu Pi-Ju, Caspi Eilon, Cheng Ching-Wei
Purdue University, West Lafayette, IN, USA.
University of Connecticut, Storrs, USA.
J Appl Gerontol. 2022 Apr;41(4):908-917. doi: 10.1177/07334648211043063. Epub 2021 Sep 4.
Mistreatment of nursing home residents is prevalent and leads to harmful consequences. The Centers for Medicare & Medicaid Services's (CMS) mission to protect residents' right to be free from mistreatment is implemented partially through state survey agencies' (SSAs) issuance of deficiency citations. The goal of this study was to compare SSA standard surveys and SSA complaint investigations with regard to the seriousness (scope and severity) of the mistreatment citations issued. A cumulative link mixed model was built to estimate the differences between standard surveys and complaint investigations in the seriousness of four core and two secondary mistreatment citations nationwide from 2014 to 2017. In all of the six mistreatment deficiency citations, complaint investigations were more likely to be determined as more serious compared with standard surveys. The findings reinforce the importance of strengthening nursing homes' and CMS/SSA response to consumers' concerns and grievances before they escalate into more harmful mistreatment.
对疗养院居民的虐待行为普遍存在，并会导致有害后果。医疗保险和医疗补助服务中心（CMS）保护居民免受虐待的权利这一使命，部分是通过州调查机构（SSA）发布缺陷引用通知来实现的。本研究的目的是比较SSA标准调查和SSA投诉调查在发布的虐待引用通知的严重性（范围和程度）方面的差异。构建了一个累积链接混合模型，以估计2014年至2017年全国范围内标准调查和投诉调查在四项核心虐待引用通知和两项二级虐待引用通知的严重性方面的差异。在所有六项虐待缺陷引用通知中，与标准调查相比，投诉调查更有可能被判定为更严重。这些发现强化了在消费者的担忧和不满升级为更有害的虐待行为之前，加强疗养院以及CMS/SSA对此做出回应的重要性。
