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T-Space at The University of Toronto Libraries >
Institute of Health Policy Management and Evaluation >
Walter Wodchis  >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/4767

Title: Nursing home profit status and quality of care: is there any evidence of an association?
Authors: Hillmer, Michael P
Walter, Walter P
Gill, Sudeep S
Anderson, Geoffrey M
Rochon, Paula A
Keywords: Quality of care
Nursing homes
Ownership status
Systematic review
Issue Date: Apr-2005
Publisher: SAGE publications
Citation: Hillmer, M.P., Wodchis, W.P., Gill, S.S., Anderson, G.M., Rochon, P.A., Nursing home profit status
Abstract: Objective: To perform a systematic review examining the association between the profit status of North American nursing homes and the quality of care. Data Sources: Studies were identified by searching MEDLINE (January 1990 – October 2002), reference lists, letters, commentaries, and editorials. Data Extraction: The quality indicator(s) used to measure quality of care, and its relationship to profit status was extracted from each publication. The study design and risk-adjustment methodologies utilized were also extracted. The inter-rater reliability for these three items was determined to be 1.0, 0.6, and 0.8, respectively. Data Synthesis: A qualitative systematic review was performed using Donabedian’s framework of structure, process and outcome for analyzing medical quality of care. Conclusions: Empirical research in the past 12 years has found that systematic differences exist between for-profit and not-for-profit nursing homes. For-profit nursing homes appear to provide lower quality of care in many important areas of process and outcome.
URI: http://hdl.handle.net/1807/4767
Appears in Collections:Walter Wodchis
Rochon, Paula

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