Lemke S, Moos R H
J Gerontol. 1986 Mar;41(2):268-76. doi: 10.1093/geronj/41.2.268.
Based on the Multiphasic Environmental Assessment Procedure (MEAP), an instrument for evaluating residential settings for elderly adults, eight indices of quality were formulated to cover both the structure and process of care. MEAP data were available for 244 facilities from throughout the United States, including 127 nursing homes (NHs), 55 residential care facilities (RCs), and 62 congregate apartments (APTs). The three types of facilities differed predictably on the quality indices. Nursing homes were more supportive and restrictive than were APTs, and RCs generally scored between NHs and APTs on the quality of care measures. These indices of quality tended to be independent of one another, suggesting that quality of care is multidimensional. Larger facilities and nonprofit facilities tended to score higher on the quality indices, although the effects of size varied somewhat with facility type and ownership. These indices may be useful for describing and comparing settings and for analyzing the correlates of quality.
基于多阶段环境评估程序（MEAP），一种用于评估老年人居住环境的工具，制定了八个质量指标，以涵盖护理的结构和过程。来自美国各地的244家机构有MEAP数据，包括127家养老院（NHs）、55家寄宿护理机构（RCs）和62家集合公寓（APTs）。这三种类型的机构在质量指标上有可预测的差异。养老院比集合公寓更具支持性和限制性，寄宿护理机构在护理质量措施方面的得分通常介于养老院和集合公寓之间。这些质量指标往往相互独立，这表明护理质量是多维度的。规模较大的机构和非营利性机构在质量指标上往往得分更高，尽管规模的影响因机构类型和所有权而有所不同。这些指标可能有助于描述和比较环境，并分析质量的相关因素。
