Dana B Mukamel1, Debra Saliba2, David L Weimer3, Heather Ladd4. 1. Division of General Internal Medicine, Department of Medicine, University of California, Irvine, Irvine, CA, USA; iTEQC Research Program, University of California, Irvine, Irvine, CA, USA. Electronic address: dmukamel@uci.edu. 2. UCLA Borun Center at David Geffen School of Medicine, Los Angeles, CA, USA; Veterans Administration GRECC, Los Angeles, CA, USA; RAND Health, Santa Monica, CA, USA. 3. LaFollette School of Public Affairs, University of Wisconsin-Madison, Madison, WI, USA. 4. Division of General Internal Medicine, Department of Medicine, University of California, Irvine, Irvine, CA, USA; iTEQC Research Program, University of California, Irvine, Irvine, CA, USA.
Abstract
OBJECTIVES: To assess (1) the relationship of consumers' assessment of overall nursing home quality to their assessment of specific dimensions of quality; and (2) the implications of this relationship for composite quality measures in Nursing Home Compare. DESIGN: A survey conducted in 2017 elicited respondents' assessments of the quality of overall care and 13 specific dimensions of care. SETTINGS AND PARTICIPANTS: The sample consisted of 4449 respondents who either resided in a nursing home or had a family member who resided in a nursing home during the 6 months before the survey. METHODS: We estimated regression models to infer the relationship between consumers' assessments of overall quality and 13 specific dimensions of quality. The regression coefficients, indicating the implicit importance/weight assigned by respondents to each dimension as a component of the consumers' assessment of overall quality, were used to create a prototype composite quality measure. RESULTS: For long-stay residents, 8 of the 13 quality dimensions were significantly associated with their overall ratings of quality. Five dimensions achieved significance for short-stay residents. The magnitude of importance weights varied substantially across dimensions of care. CONCLUSIONS AND IMPLICATIONS: Our findings suggest that Nursing Home Compare could be improved by augmenting the technical information in the 5-Star composite measure with consumers' assessments of the additional, nontechnical dimensions of quality.
OBJECTIVES: To assess (1) the relationship of consumers' assessment of overall nursing home quality to their assessment of specific dimensions of quality; and (2) the implications of this relationship for composite quality measures in Nursing Home Compare. DESIGN: A survey conducted in 2017 elicited respondents' assessments of the quality of overall care and 13 specific dimensions of care. SETTINGS AND PARTICIPANTS: The sample consisted of 4449 respondents who either resided in a nursing home or had a family member who resided in a nursing home during the 6 months before the survey. METHODS: We estimated regression models to infer the relationship between consumers' assessments of overall quality and 13 specific dimensions of quality. The regression coefficients, indicating the implicit importance/weight assigned by respondents to each dimension as a component of the consumers' assessment of overall quality, were used to create a prototype composite quality measure. RESULTS: For long-stay residents, 8 of the 13 quality dimensions were significantly associated with their overall ratings of quality. Five dimensions achieved significance for short-stay residents. The magnitude of importance weights varied substantially across dimensions of care. CONCLUSIONS AND IMPLICATIONS: Our findings suggest that Nursing Home Compare could be improved by augmenting the technical information in the 5-Star composite measure with consumers' assessments of the additional, nontechnical dimensions of quality.
Authors: Sun Jung Kim; Eun-Cheol Park; Sulgi Kim; Shunichi Nakagawa; John Lung; Jong Bum Choi; Woo Sang Ryu; Too Jae Min; Hyun Phil Shin; Kyudam Kim; Ji Won Yoo Journal: J Am Med Dir Assoc Date: 2013-12-17 Impact factor: 4.669
Authors: Dana B Mukamel; Alpesh Amin; David L Weimer; Heather Ladd; Joseph Sharit; Ran Schwarzkopf; Dara H Sorkin Journal: Health Serv Res Date: 2016-10-24 Impact factor: 3.402