Pressure ulcer development in the VA: Characteristics of nursing homes providing best care

被引：16

作者：

Berlowitz, DR

Anderson, JJ

Brandeis, GH

Lehner, LA

Brand, HK

Ash, AS

Moskowitz, MA

机构：

[1] Bedford VA Hosp, HSR&D Field Program, Ctr Hlth Qual Outcomes & Econ Res, Bedford, MA 01730 USA

[2] Bedford VA Hosp, Grp Management Sci, Bedford, MA 01730 USA

[3] Boston Med Ctr, Hlth Care Res Unit, Boston, MA USA

[4] Boston Univ, Sch Med, Boston, MA 02118 USA

[5] Boston Univ, Sch Publ Hlth, Boston, MA USA

来源：

AMERICAN JOURNAL OF MEDICAL QUALITY | 1999年 / 14卷 / 01期

关键词：

D O I：

10.1177/106286069901400106

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This study identifies structural characteristics of VA nursing homes that are associated with the best patient outcomes. We evaluated risk adjusted rates of pressure ulcer development in VA nursing homes and related these rates to facility size, staffing patterns, teaching nursing home status, and rural versus urban locale. Higher rates of pressure ulcer development were seen among urban teaching nursing homes and among nursing homes associated with both larger and smaller VA hospitals. Staffing patterns had a complex association with pressure ulcer development, and smaller nursing home staffs were not clearly associated with higher rates. For multivariate modeling, only hospital size and staffing remained significant independent predictors of pressure ulcer develop ment. These results emphasize that while structural characteristics of VA nursing homes can provide insights about care, improving the quality of care in this setting will require a much greater understanding how nursing homes are organized to meet patient needs.

引用

页码：39 / 44

页数：6

共 21 条

[1]

BEATTIE MC, 1993, DEP VET AFFAIRS DATA

[2]

Berlowitz D R, 1997, Jt Comm J Qual Improv, V23, P424

[3] Rating long-term care facilities on pressure ulcer development: Importance of case-mix adjustment [J].