Staff mix and nursing home quality by level of case mix in Korea
Aim The purpose of the present study was to identify the relationship between staff mix in nursing homes and quality of care by level of case mix in Korea. Methods Data used in the present study came from Long‐Term Care Insurance claims data with basic information of nursing homes with >29 beds (...
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| Veröffentlicht in: | Geriatrics & gerontology international 2019-05, Vol.19 (5), p.438-443 |
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| container_title | Geriatrics & gerontology international |
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| creator | Song, Misook Song, Hyunjong |
| description | Aim
The purpose of the present study was to identify the relationship between staff mix in nursing homes and quality of care by level of case mix in Korea.
Methods
Data used in the present study came from Long‐Term Care Insurance claims data with basic information of nursing homes with >29 beds (n = 1137) and quality evaluation reports. Staff mix was calculated as the number of nursing staff, social workers and care workers per total staff number.
Results
In multinomial logistic regression analyses, institutions with a higher ratio of social workers were classified as top‐quality class institutes after controlling ownership, location, size and percentage of high level of care needs residents. In analyzing the higher case mix nursing homes, institutions with a high ratio of nursing staff and social workers were more likely to be classified as top‐quality class than the lowest class institutions. However, there was no significant association between quality of care and ratio of staff mix in the lower case mix nursing homes.
Conclusions
A higher staff mix was positively related to nursing home quality of care, but the relationship was affected by case mix of residents’ care demand. Therefore, the current minimum staffing standard for personnel in nursing homes should be modified considering the acuity of the residents. Geriatr Gerontol Int 2019; 19: 438–443. |
| doi_str_mv | 10.1111/ggi.13631 |
| format | Article |
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The purpose of the present study was to identify the relationship between staff mix in nursing homes and quality of care by level of case mix in Korea.
Methods
Data used in the present study came from Long‐Term Care Insurance claims data with basic information of nursing homes with >29 beds (n = 1137) and quality evaluation reports. Staff mix was calculated as the number of nursing staff, social workers and care workers per total staff number.
Results
In multinomial logistic regression analyses, institutions with a higher ratio of social workers were classified as top‐quality class institutes after controlling ownership, location, size and percentage of high level of care needs residents. In analyzing the higher case mix nursing homes, institutions with a high ratio of nursing staff and social workers were more likely to be classified as top‐quality class than the lowest class institutions. However, there was no significant association between quality of care and ratio of staff mix in the lower case mix nursing homes.
Conclusions
A higher staff mix was positively related to nursing home quality of care, but the relationship was affected by case mix of residents’ care demand. Therefore, the current minimum staffing standard for personnel in nursing homes should be modified considering the acuity of the residents. Geriatr Gerontol Int 2019; 19: 438–443.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/ggi.13631</identifier><identifier>PMID: 30895691</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Adult ; Aged ; case mix ; Diagnosis-Related Groups - statistics & numerical data ; Female ; Health Personnel - statistics & numerical data ; Health Services Needs and Demand ; Homes for the Aged - standards ; Humans ; Male ; nursing home ; Nursing homes ; Nursing Homes - standards ; Nursing Staff - statistics & numerical data ; personnel management ; Quality ; Quality Improvement ; Quality of care ; Quality of Health Care - organization & administration ; Republic of Korea ; Social Workers - statistics & numerical data</subject><ispartof>Geriatrics & gerontology international, 2019-05, Vol.19 (5), p.438-443</ispartof><rights>2019 Japan Geriatrics Society</rights><rights>2019 Japan Geriatrics Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3771-6d1140b98f7d295530a665b9a7a80c336be212ba4df9c39d44668c451955e5df3</citedby><cites>FETCH-LOGICAL-c3771-6d1140b98f7d295530a665b9a7a80c336be212ba4df9c39d44668c451955e5df3</cites><orcidid>0000-0002-3615-8024</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fggi.13631$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fggi.13631$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30895691$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Song, Misook</creatorcontrib><creatorcontrib>Song, Hyunjong</creatorcontrib><title>Staff mix and nursing home quality by level of case mix in Korea</title><title>Geriatrics & gerontology international</title><addtitle>Geriatr Gerontol Int</addtitle><description>Aim
The purpose of the present study was to identify the relationship between staff mix in nursing homes and quality of care by level of case mix in Korea.
Methods
Data used in the present study came from Long‐Term Care Insurance claims data with basic information of nursing homes with >29 beds (n = 1137) and quality evaluation reports. Staff mix was calculated as the number of nursing staff, social workers and care workers per total staff number.
Results
In multinomial logistic regression analyses, institutions with a higher ratio of social workers were classified as top‐quality class institutes after controlling ownership, location, size and percentage of high level of care needs residents. In analyzing the higher case mix nursing homes, institutions with a high ratio of nursing staff and social workers were more likely to be classified as top‐quality class than the lowest class institutions. However, there was no significant association between quality of care and ratio of staff mix in the lower case mix nursing homes.
Conclusions
A higher staff mix was positively related to nursing home quality of care, but the relationship was affected by case mix of residents’ care demand. Therefore, the current minimum staffing standard for personnel in nursing homes should be modified considering the acuity of the residents. Geriatr Gerontol Int 2019; 19: 438–443.</description><subject>Adult</subject><subject>Aged</subject><subject>case mix</subject><subject>Diagnosis-Related Groups - statistics & numerical data</subject><subject>Female</subject><subject>Health Personnel - statistics & numerical data</subject><subject>Health Services Needs and Demand</subject><subject>Homes for the Aged - standards</subject><subject>Humans</subject><subject>Male</subject><subject>nursing home</subject><subject>Nursing homes</subject><subject>Nursing Homes - standards</subject><subject>Nursing Staff - statistics & numerical data</subject><subject>personnel management</subject><subject>Quality</subject><subject>Quality Improvement</subject><subject>Quality of care</subject><subject>Quality of Health Care - organization & administration</subject><subject>Republic of Korea</subject><subject>Social Workers - statistics & numerical data</subject><issn>1444-1586</issn><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E9PwyAcxnFiNG5OD74BQ-JFD934AaXlpll0Li7xoJ4JbWF26Z-trGrfvbhODyZygcMnT8gXoXMgY_BnslzmY2CCwQEaAudRQELJD3dvHkAYiwE6cW5FCEQS4BgNGIllKCQM0c3zVluLy_wT6yrDVdu4vFrit7o0eNPqIt92OOlwYd5NgWuLU-3MTucVfqwbo0_RkdWFM2f7e4Re7-9epg_B4mk2n94ugpRFEQQiA-AkkbGNMirDkBEtRJhIHemYpIyJxFCgieaZlSmTGedCxCkPwVsTZpaN0FW_u27qTWvcVpW5S01R6MrUrVPUSyp4BMzTyz90VbdN5X-nKPUJBKGMe3Xdq7SpnWuMVesmL3XTKSDqO6vyWdUuq7cX-8U2KU32K386ejDpwUdemO7_JTWbzfvJL_byfgI</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Song, Misook</creator><creator>Song, Hyunjong</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><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>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3615-8024</orcidid></search><sort><creationdate>201905</creationdate><title>Staff mix and nursing home quality by level of case mix in Korea</title><author>Song, Misook ; Song, Hyunjong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3771-6d1140b98f7d295530a665b9a7a80c336be212ba4df9c39d44668c451955e5df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>case mix</topic><topic>Diagnosis-Related Groups - statistics & numerical data</topic><topic>Female</topic><topic>Health Personnel - statistics & numerical data</topic><topic>Health Services Needs and Demand</topic><topic>Homes for the Aged - standards</topic><topic>Humans</topic><topic>Male</topic><topic>nursing home</topic><topic>Nursing homes</topic><topic>Nursing Homes - standards</topic><topic>Nursing Staff - statistics & numerical data</topic><topic>personnel management</topic><topic>Quality</topic><topic>Quality Improvement</topic><topic>Quality of care</topic><topic>Quality of Health Care - organization & administration</topic><topic>Republic of Korea</topic><topic>Social Workers - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Song, Misook</creatorcontrib><creatorcontrib>Song, Hyunjong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics & gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Song, Misook</au><au>Song, Hyunjong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Staff mix and nursing home quality by level of case mix in Korea</atitle><jtitle>Geriatrics & gerontology international</jtitle><addtitle>Geriatr Gerontol Int</addtitle><date>2019-05</date><risdate>2019</risdate><volume>19</volume><issue>5</issue><spage>438</spage><epage>443</epage><pages>438-443</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim
The purpose of the present study was to identify the relationship between staff mix in nursing homes and quality of care by level of case mix in Korea.
Methods
Data used in the present study came from Long‐Term Care Insurance claims data with basic information of nursing homes with >29 beds (n = 1137) and quality evaluation reports. Staff mix was calculated as the number of nursing staff, social workers and care workers per total staff number.
Results
In multinomial logistic regression analyses, institutions with a higher ratio of social workers were classified as top‐quality class institutes after controlling ownership, location, size and percentage of high level of care needs residents. In analyzing the higher case mix nursing homes, institutions with a high ratio of nursing staff and social workers were more likely to be classified as top‐quality class than the lowest class institutions. However, there was no significant association between quality of care and ratio of staff mix in the lower case mix nursing homes.
Conclusions
A higher staff mix was positively related to nursing home quality of care, but the relationship was affected by case mix of residents’ care demand. Therefore, the current minimum staffing standard for personnel in nursing homes should be modified considering the acuity of the residents. Geriatr Gerontol Int 2019; 19: 438–443.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>30895691</pmid><doi>10.1111/ggi.13631</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-3615-8024</orcidid></addata></record> |
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| ispartof | Geriatrics & gerontology international, 2019-05, Vol.19 (5), p.438-443 |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adult Aged case mix Diagnosis-Related Groups - statistics & numerical data Female Health Personnel - statistics & numerical data Health Services Needs and Demand Homes for the Aged - standards Humans Male nursing home Nursing homes Nursing Homes - standards Nursing Staff - statistics & numerical data personnel management Quality Quality Improvement Quality of care Quality of Health Care - organization & administration Republic of Korea Social Workers - statistics & numerical data |
| title | Staff mix and nursing home quality by level of case mix in Korea |
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