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|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|
|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.|
|Appears in Collections:||Walter Wodchis |
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