OBJECTIVE: This study quantifies the effect of a new dementia special care unit (D-SCU) on the provision of care to all residents in a nursing home (NH). METHOD: The authors use data from the On-line Survey Certification and Reporting system to identify free-standing NHs that first reported a D-SCU between 1996 and 2003 (N = 1,519). Fixed-effects models estimate the effect of a new D-SCU on the prevalence of each outcome (physical restraints, feeding tubes, and psychotropic medications) while controlling for secular trends. RESULTS: For all NHs, the use of physical restraints declined, the use of antipsychotics increased, and other measures remained relatively constant. The introduction of a D-SCU was not associated with changes in trends for any measure. DISCUSSION: Differences in care processes between NHs with and without D-SCUs are the result of differences in their underlying approach to care, not the result of care practice diffusion from the D-SCU.
OBJECTIVE: This study quantifies the effect of a new dementia special care unit (D-SCU) on the provision of care to all residents in a nursing home (NH). METHOD: The authors use data from the On-line Survey Certification and Reporting system to identify free-standing NHs that first reported a D-SCU between 1996 and 2003 (N = 1,519). Fixed-effects models estimate the effect of a new D-SCU on the prevalence of each outcome (physical restraints, feeding tubes, and psychotropic medications) while controlling for secular trends. RESULTS: For all NHs, the use of physical restraints declined, the use of antipsychotics increased, and other measures remained relatively constant. The introduction of a D-SCU was not associated with changes in trends for any measure. DISCUSSION: Differences in care processes between NHs with and without D-SCUs are the result of differences in their underlying approach to care, not the result of care practice diffusion from the D-SCU.
Authors: Nina R Joyce; Thomas G McGuire; Stephen J Bartels; Susan L Mitchell; David C Grabowski Journal: Health Serv Res Date: 2018-05-07 Impact factor: 3.402
Authors: Justin Blackburn; Qing Zheng; David C Grabowski; Richard Hirth; Orna Intrator; David G Stevenson; Jane Banaszak-Holl Journal: Inquiry Date: 2018 Jan-Dec Impact factor: 1.730
Authors: Jenny T van der Steen; Andrew Westzaan; Kimberley Hanemaayer; Muhamad Muhamad; Margot W M de Waal; Wilco P Achterberg Journal: Brain Sci Date: 2021-06-29