The quality of quality measurement in US nursing homes

被引：139

作者：

Mor, V

Berg, K

Angelelli, J

Gifford, D

Morris, J

Moore, T

机构：

[1] Brown Univ, Sch Med, Dept Community Hlth, Ctr Gerontol & Hlth Care Res, Providence, RI 02912 USA

[2] McGill Univ, Sch Phys & Occupat Therapy, Montreal, PQ H3G 1Y5, Canada

[3] Rhode Isl Qual Partners, Providence, RI USA

[4] Hebrew Rehabil Ctr Aged, Res & Training Inst, Boston, MA 02131 USA

[5] ABT Associates Inc, Cambridge, MA 02138 USA

来源：

GERONTOLOGIST | 2003年 / 43卷

关键词：

quality indicators; quality measurement; assessment methodology; quality of care; benchmarking; performance measures; nursing homes;

D O I：

10.1093/geront/43.suppl_2.37

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Purpose: This article examines various technical challenges inherent in the design, implementation, and dissemination of health care quality performance measures. Design and Methods: Using national and state-specific Minimum Data Set data from 1999, we examined sample size, measure stability, creation of ordinal ranks, and risk adjustment as applied to aggregated facility quality indicators. Results: Nursing home Quality Indicators now in use are multidimensional and quarterly estimates of incidence-based measures can be relatively unstable, suggesting the need for some averaging of measures over time. Implications: Current public reports benchmarking nursing homes' performances may require additional technical modifications to avoid compromising the fairness of comparisons.

引用

页码：37 / 46

页数：10

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