Purchasing or Providing Nursing Home Care: Can Quality of Care Data Provide Guidance

Objectives: To examine whether quality of care differed for veterans in Department of Veterans Affairs (VA) nursing homes and those on contract in community nursing homes and whether the VA was contracting with nursing homes providing better quality of care than other nursing homes. Design: Observat...

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Veröffentlicht in:	Journal of the American Geriatrics Society 2005-04, Vol.53 (4), p.603-608
Hauptverfasser:	Berlowitz, Dan R., Rosen, Amy K., Wang, Fei, Tsilimingras, Dionyssios, Tariot, Pierre N., Engelhardt, Joe, Kader, Boris, Mukamel, Dana B.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Biological and medical sciences Clinical outcomes Comparative analysis Contract Services Data analysis Decision Making, Organizational Elderly people Female General aspects Health care Homes for the Aged - standards Humans Logistic Models Male Medical sciences New York Nursing homes Nursing Homes - standards outcome assessment Purchaser-Provider relationships Quality Indicators, Health Care Quality of care quality of health care Quality of service Risk adjustment United States United States Department of Veterans Affairs USA Veterans
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Zusammenfassung:	Objectives: To examine whether quality of care differed for veterans in Department of Veterans Affairs (VA) nursing homes and those on contract in community nursing homes and whether the VA was contracting with nursing homes providing better quality of care than other nursing homes. Design: Observational study using administrative databases from 1997 to 1999. Setting: Ten VA and 650 community nursing homes in New York state. Participants: Four thousand seven hundred sixty‐three veteran and 195,438 nonveteran residents of these nursing homes. Measurements: Risk‐adjusted rates of pressure ulcer development, functional decline, behavioral decline, and mortality. Results: Veterans in VA nursing homes were significantly (P
ISSN:	0002-8614 1532-5415
DOI:	10.1111/j.1532-5415.2005.53207.x