Variations in Outcomes of Care in Urban and Rural Nursing Facilities in Maine
Federal and state regulators and the nursing home industry have accelerated efforts to improve care practices in response to the Institute of Medicine's 1986 report on the quality of nursing home care and the federal Nursing Home Reform Act of 1987 (OBRA 1987). Very little is known about the qu...
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| Veröffentlicht in: | Journal of applied gerontology 1996-06, Vol.15 (2), p.202-223 |
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| container_end_page | 223 |
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| container_title | Journal of applied gerontology |
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| creator | Coburn, Andrew F. Fralich, Julie T. McGuire, Catherine Fortinsky, Richard H. |
| description | Federal and state regulators and the nursing home industry have accelerated efforts to improve
care practices in response to the Institute of Medicine's 1986 report on the quality of nursing
home care and the federal Nursing Home Reform Act of 1987 (OBRA 1987). Very little is known
about the quality of care in rural nursing facilities compared to their urban counterparts. This
study describes variations in facility and resident characteristics of urban and rural nursing
facilities in Maine and examines differences in outcomes of care. The study estimates rural-urban
differences in 11 quality indicators (measured at the facility level) controlling for resident,
facility, and market characteristics and other factors that may affect quality. Results reveal few
significant differences between rural and urban nursing facilities. Further research is needed to
understand whether differences in the characteristics of rural and urban facilities not measured
in this study may affect nursing facility quality. |
| doi_str_mv | 10.1177/073346489601500205 |
| format | Article |
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care practices in response to the Institute of Medicine's 1986 report on the quality of nursing
home care and the federal Nursing Home Reform Act of 1987 (OBRA 1987). Very little is known
about the quality of care in rural nursing facilities compared to their urban counterparts. This
study describes variations in facility and resident characteristics of urban and rural nursing
facilities in Maine and examines differences in outcomes of care. The study estimates rural-urban
differences in 11 quality indicators (measured at the facility level) controlling for resident,
facility, and market characteristics and other factors that may affect quality. Results reveal few
significant differences between rural and urban nursing facilities. Further research is needed to
understand whether differences in the characteristics of rural and urban facilities not measured
in this study may affect nursing facility quality.</description><identifier>ISSN: 0733-4648</identifier><identifier>EISSN: 1552-4523</identifier><identifier>DOI: 10.1177/073346489601500205</identifier><language>eng</language><publisher>Thousand Oaks, CA: Sage Publications</publisher><subject>Long term health care ; Maine ; Nursing Homes ; Quality of Health Care ; Rural Areas ; Treatment Outcomes ; Urban Areas</subject><ispartof>Journal of applied gerontology, 1996-06, Vol.15 (2), p.202-223</ispartof><rights>Copyright SAGE PUBLICATIONS, INC. Jun 1996</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-48977da0a4fee788eaffc41a5f9247df536d9eb60ee64f14215d3a65bc1568233</citedby><cites>FETCH-LOGICAL-c376t-48977da0a4fee788eaffc41a5f9247df536d9eb60ee64f14215d3a65bc1568233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/073346489601500205$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/073346489601500205$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,33774,33775,43621,43622</link.rule.ids></links><search><creatorcontrib>Coburn, Andrew F.</creatorcontrib><creatorcontrib>Fralich, Julie T.</creatorcontrib><creatorcontrib>McGuire, Catherine</creatorcontrib><creatorcontrib>Fortinsky, Richard H.</creatorcontrib><title>Variations in Outcomes of Care in Urban and Rural Nursing Facilities in Maine</title><title>Journal of applied gerontology</title><description>Federal and state regulators and the nursing home industry have accelerated efforts to improve
care practices in response to the Institute of Medicine's 1986 report on the quality of nursing
home care and the federal Nursing Home Reform Act of 1987 (OBRA 1987). Very little is known
about the quality of care in rural nursing facilities compared to their urban counterparts. This
study describes variations in facility and resident characteristics of urban and rural nursing
facilities in Maine and examines differences in outcomes of care. The study estimates rural-urban
differences in 11 quality indicators (measured at the facility level) controlling for resident,
facility, and market characteristics and other factors that may affect quality. Results reveal few
significant differences between rural and urban nursing facilities. Further research is needed to
understand whether differences in the characteristics of rural and urban facilities not measured
in this study may affect nursing facility quality.</description><subject>Long term health care</subject><subject>Maine</subject><subject>Nursing Homes</subject><subject>Quality of Health Care</subject><subject>Rural Areas</subject><subject>Treatment Outcomes</subject><subject>Urban Areas</subject><issn>0733-4648</issn><issn>1552-4523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>BHHNA</sourceid><recordid>eNp9kU1Lw0AQhhdRsH78AU_Bg3iJ3dnP5CjFqtBaEOs1TJPdsiXd1N3k4L83sYKg0NPAzPO-M8NLyBXQOwCtx1RzLpTIckVBUsqoPCIjkJKlQjJ-TEYDkA7EKTmLcUMp7YcwIvN3DA5b1_iYOJ8surZstiYmjU0mGMzQW4YV-gR9lbx2AevkpQvR-XUyxdLVrnXmWzlH580FObFYR3P5U8_JcvrwNnlKZ4vH58n9LC25Vm3a36l1hRSFNUZnmUFrSwEobc6ErqzkqsrNSlFjlLAgGMiKo5KrEqTKGOfn5GbvuwvNR2diW2xdLE1dozdNFwsFMoecZT14exAErUDlStLB8_oPumm64Ps3in5_lnEG0ENsD5WhiTEYW-yC22L4LIAWQxLF_yR60Xgvirg2v64HFF9014Zw</recordid><startdate>199606</startdate><enddate>199606</enddate><creator>Coburn, Andrew F.</creator><creator>Fralich, Julie T.</creator><creator>McGuire, Catherine</creator><creator>Fortinsky, Richard H.</creator><general>Sage Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope></search><sort><creationdate>199606</creationdate><title>Variations in Outcomes of Care in Urban and Rural Nursing Facilities in Maine</title><author>Coburn, Andrew F. ; Fralich, Julie T. ; McGuire, Catherine ; Fortinsky, Richard H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-48977da0a4fee788eaffc41a5f9247df536d9eb60ee64f14215d3a65bc1568233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Long term health care</topic><topic>Maine</topic><topic>Nursing Homes</topic><topic>Quality of Health Care</topic><topic>Rural Areas</topic><topic>Treatment Outcomes</topic><topic>Urban Areas</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coburn, Andrew F.</creatorcontrib><creatorcontrib>Fralich, Julie T.</creatorcontrib><creatorcontrib>McGuire, Catherine</creatorcontrib><creatorcontrib>Fortinsky, Richard H.</creatorcontrib><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><jtitle>Journal of applied gerontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coburn, Andrew F.</au><au>Fralich, Julie T.</au><au>McGuire, Catherine</au><au>Fortinsky, Richard H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Variations in Outcomes of Care in Urban and Rural Nursing Facilities in Maine</atitle><jtitle>Journal of applied gerontology</jtitle><date>1996-06</date><risdate>1996</risdate><volume>15</volume><issue>2</issue><spage>202</spage><epage>223</epage><pages>202-223</pages><issn>0733-4648</issn><eissn>1552-4523</eissn><abstract>Federal and state regulators and the nursing home industry have accelerated efforts to improve
care practices in response to the Institute of Medicine's 1986 report on the quality of nursing
home care and the federal Nursing Home Reform Act of 1987 (OBRA 1987). Very little is known
about the quality of care in rural nursing facilities compared to their urban counterparts. This
study describes variations in facility and resident characteristics of urban and rural nursing
facilities in Maine and examines differences in outcomes of care. The study estimates rural-urban
differences in 11 quality indicators (measured at the facility level) controlling for resident,
facility, and market characteristics and other factors that may affect quality. Results reveal few
significant differences between rural and urban nursing facilities. Further research is needed to
understand whether differences in the characteristics of rural and urban facilities not measured
in this study may affect nursing facility quality.</abstract><cop>Thousand Oaks, CA</cop><pub>Sage Publications</pub><doi>10.1177/073346489601500205</doi><tpages>22</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0733-4648 |
| ispartof | Journal of applied gerontology, 1996-06, Vol.15 (2), p.202-223 |
| issn | 0733-4648 1552-4523 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_61591928 |
| source | Access via SAGE; Sociological Abstracts |
| subjects | Long term health care Maine Nursing Homes Quality of Health Care Rural Areas Treatment Outcomes Urban Areas |
| title | Variations in Outcomes of Care in Urban and Rural Nursing Facilities in Maine |
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