Unannounced, compared with announced inspections: A systematic review and exploratory study in nursing homes
Abstract Politicians and regulators have high expectations of unannounced inspections. Unannounced inspections, unlike announced ones, would, they believe, lead to a clearer insight into the risks and a reduction of the regulatory burden. In order to verify these assumptions, a systematic review of...
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| Veröffentlicht in: | Health policy (Amsterdam) 2013-08, Vol.111 (3), p.311-319 |
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| creator | Klerks, Marielle C.J.L Ketelaars, Corry A.J Robben, Paul B.M |
| description | Abstract Politicians and regulators have high expectations of unannounced inspections. Unannounced inspections, unlike announced ones, would, they believe, lead to a clearer insight into the risks and a reduction of the regulatory burden. In order to verify these assumptions, a systematic review of the scientific literature and an exploratory study were conducted. In the systematic review only three relevant articles were found concerned with research into the difference between unannounced and announced inspections. In the exploratory study, Dutch nursing homes were inspected, unannounced, and later announced, in order to compare the risks detected during the inspections. It is concluded that unannounced inspections did not reveal more or different risks, but provided a better insight into the quality of care delivered. Announced inspections are the best option for the assessment both of the organization and of its preconditions for good care. Evidence was found that an unannounced inspection leads to a reduction of the regulatory burden. |
| doi_str_mv | 10.1016/j.healthpol.2013.05.001 |
| format | Article |
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Unannounced inspections, unlike announced ones, would, they believe, lead to a clearer insight into the risks and a reduction of the regulatory burden. In order to verify these assumptions, a systematic review of the scientific literature and an exploratory study were conducted. In the systematic review only three relevant articles were found concerned with research into the difference between unannounced and announced inspections. In the exploratory study, Dutch nursing homes were inspected, unannounced, and later announced, in order to compare the risks detected during the inspections. It is concluded that unannounced inspections did not reveal more or different risks, but provided a better insight into the quality of care delivered. Announced inspections are the best option for the assessment both of the organization and of its preconditions for good care. Evidence was found that an unannounced inspection leads to a reduction of the regulatory burden.</description><identifier>ISSN: 0168-8510</identifier><identifier>EISSN: 1872-6054</identifier><identifier>DOI: 10.1016/j.healthpol.2013.05.001</identifier><identifier>PMID: 23727249</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>Announced ; Biological and medical sciences ; Burden ; Care of the aged ; Facility Regulation and Control - organization & administration ; Government Regulation ; Guideline Adherence ; Health administration ; Health Care ; Inspection ; Inspections ; Internal Medicine ; Literature reviews ; Medical sciences ; Miscellaneous ; Netherlands ; Nursing homes ; Nursing Homes - standards ; Politicians ; Public health. Hygiene ; Public health. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c555t-75fc9764e5a74d94c08420976620106f2806390a1d0b933385b7b55ea4aaf453</citedby><cites>FETCH-LOGICAL-c555t-75fc9764e5a74d94c08420976620106f2806390a1d0b933385b7b55ea4aaf453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0168851013001267$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27842,27901,27902,30977,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27716522$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23727249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klerks, Marielle C.J.L</creatorcontrib><creatorcontrib>Ketelaars, Corry A.J</creatorcontrib><creatorcontrib>Robben, Paul B.M</creatorcontrib><title>Unannounced, compared with announced inspections: A systematic review and exploratory study in nursing homes</title><title>Health policy (Amsterdam)</title><addtitle>Health Policy</addtitle><description>Abstract Politicians and regulators have high expectations of unannounced inspections. Unannounced inspections, unlike announced ones, would, they believe, lead to a clearer insight into the risks and a reduction of the regulatory burden. In order to verify these assumptions, a systematic review of the scientific literature and an exploratory study were conducted. In the systematic review only three relevant articles were found concerned with research into the difference between unannounced and announced inspections. In the exploratory study, Dutch nursing homes were inspected, unannounced, and later announced, in order to compare the risks detected during the inspections. It is concluded that unannounced inspections did not reveal more or different risks, but provided a better insight into the quality of care delivered. Announced inspections are the best option for the assessment both of the organization and of its preconditions for good care. Evidence was found that an unannounced inspection leads to a reduction of the regulatory burden.</description><subject>Announced</subject><subject>Biological and medical sciences</subject><subject>Burden</subject><subject>Care of the aged</subject><subject>Facility Regulation and Control - organization & administration</subject><subject>Government Regulation</subject><subject>Guideline Adherence</subject><subject>Health administration</subject><subject>Health Care</subject><subject>Inspection</subject><subject>Inspections</subject><subject>Internal Medicine</subject><subject>Literature reviews</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Netherlands</subject><subject>Nursing homes</subject><subject>Nursing Homes - standards</subject><subject>Politicians</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality of care</subject><subject>Quality standards</subject><subject>Regulation</subject><subject>Residential care</subject><subject>Risk</subject><subject>Risk assessment</subject><subject>Unannounced</subject><issn>0168-8510</issn><issn>1872-6054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNqNkk2P0zAQhiMEYrsLfwF8QeKwKePvhMNK1YovaSUOLGfLdRzqktjBTljy73HUUiQu9GTJft7xjJ4pipcY1hiweLNf76zuxt0QujUBTNfA1wD4UbHClSSlAM4eF6tMVmXFMVwUlyntAUBSKp4WF4RKIgmrV0X31Wvvw-SNba6RCf2go23Qgxt36PSAnE-DNaMLPr1FG5TmNNpej86gaH86-5DRBtlfQxeiHkOcURqnZs4x5KeYnP-GdqG36VnxpNVdss-P51Vx__7d_e3H8u7zh0-3m7vScM7HUvLW1FIwy7VkTc0MVIxAvhF5VBAtqUDQGjRuYFtTSiu-lVvOrWZat4zTq-L1oewQw4_JplH1LhnbddrbMCWFJeWCMwHk_yhnuK6o5OegwDAXjJ7RACOCY47FgsoDamJIKdpWDdH1Os4Kg1pUq706qVaLagVcZdU5-eL4ybTtbXPK_XGbgVdHQCejuzZqb1z6y0mZGyDLYJsDZ7OSbDOqZJxdvLuYpasmuDOaufmnhumcd_nb73a2aR-m6LNxhVUiCtSXZTOXxcQ0p4mQ9Df3Pt9P</recordid><startdate>20130801</startdate><enddate>20130801</enddate><creator>Klerks, Marielle C.J.L</creator><creator>Ketelaars, Corry A.J</creator><creator>Robben, Paul B.M</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7QJ</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope></search><sort><creationdate>20130801</creationdate><title>Unannounced, compared with announced inspections: A systematic review and exploratory study in nursing homes</title><author>Klerks, Marielle C.J.L ; Ketelaars, Corry A.J ; Robben, Paul B.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c555t-75fc9764e5a74d94c08420976620106f2806390a1d0b933385b7b55ea4aaf453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Announced</topic><topic>Biological and medical sciences</topic><topic>Burden</topic><topic>Care of the aged</topic><topic>Facility Regulation and Control - organization & administration</topic><topic>Government Regulation</topic><topic>Guideline Adherence</topic><topic>Health administration</topic><topic>Health Care</topic><topic>Inspection</topic><topic>Inspections</topic><topic>Internal Medicine</topic><topic>Literature reviews</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Netherlands</topic><topic>Nursing homes</topic><topic>Nursing Homes - standards</topic><topic>Politicians</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quality of care</topic><topic>Quality standards</topic><topic>Regulation</topic><topic>Residential care</topic><topic>Risk</topic><topic>Risk assessment</topic><topic>Unannounced</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klerks, Marielle C.J.L</creatorcontrib><creatorcontrib>Ketelaars, Corry A.J</creatorcontrib><creatorcontrib>Robben, Paul B.M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><jtitle>Health policy (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klerks, Marielle C.J.L</au><au>Ketelaars, Corry A.J</au><au>Robben, Paul B.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unannounced, compared with announced inspections: A systematic review and exploratory study in nursing homes</atitle><jtitle>Health policy (Amsterdam)</jtitle><addtitle>Health Policy</addtitle><date>2013-08-01</date><risdate>2013</risdate><volume>111</volume><issue>3</issue><spage>311</spage><epage>319</epage><pages>311-319</pages><issn>0168-8510</issn><eissn>1872-6054</eissn><abstract>Abstract Politicians and regulators have high expectations of unannounced inspections. 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Evidence was found that an unannounced inspection leads to a reduction of the regulatory burden.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>23727249</pmid><doi>10.1016/j.healthpol.2013.05.001</doi><tpages>9</tpages></addata></record> |
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| ispartof | Health policy (Amsterdam), 2013-08, Vol.111 (3), p.311-319 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; PAIS Index; Elsevier ScienceDirect Journals |
| subjects | Announced Biological and medical sciences Burden Care of the aged Facility Regulation and Control - organization & administration Government Regulation Guideline Adherence Health administration Health Care Inspection Inspections Internal Medicine Literature reviews Medical sciences Miscellaneous Netherlands Nursing homes Nursing Homes - standards Politicians Public health. Hygiene Public health. Hygiene-occupational medicine Quality of care Quality standards Regulation Residential care Risk Risk assessment Unannounced |
| title | Unannounced, compared with announced inspections: A systematic review and exploratory study in nursing homes |
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