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Monitoring the Outcomes of Quality of Care in Nursing Homes Using Administrative Data

Published online by Cambridge University Press:  29 November 2010

Evelyn Shapiro  and
Robert B. Tate
Evelyn Shapiro
Affiliation:
University of Manitoba
Robert B. Tate
Affiliation:
University of Manitoba
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Abstract

Routinely-collected administrative data and Cox's proportional hazards models are used to compare outcomes of care while controlling for age, sex and dependency level. The results indicate that the overall quality of nursing home care in Manitoba is good but that residents in certain regions and in certain types of nursing homes have specific outcomes that are poorer than others. These outcome indicators must not be treated as definitive signs of poorer care but as “triggers” suggesting a need for a closer look because the methodology and outcomes used in this study are still in the experimental stage. The results also indicate that secondary data provide a relatively inexpensive starting point for evaluating outcomes of nursing home care.

Résumé

Les données administratives obtenues des cueillettes de routine et les modèles de risques proportionnels de Cox sont utilisés afin de comparer les résultats de soins prodigués tout en contrôlant les effets de l'âge, du sexe et du niveau de dépendance. L'étude révèle que la qualité globale des soins prodigués dans les centres d'accueil du Manitoba est bonne, mais que dans certaines régions et dans certains types de centres d'accueil, les résultats sont moins bons chez certains résidents que chez d'autres. Ces indicateurs de résultats ne doivent pas être considérés comme des signes spécifiques de soins de moindre qualité, mais comme des «déclics» suggérant le besoin d'un examen plus approfondi, la méthodologie et les résultats utilisés dans cette étude étant encore au stade expérimental. L'étude démontre également que des données secondaires fournissent un point de départ relativement peu coûteux pour l'évaluation des résultats obtenus à la suite des soins de santé prodigués en centres d'accueil.

Keywords

OutcomesQuality of CareNursing HomesRésultatsqualité des soinscentres d'accueil
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 14 , Issue 4 , Winter/hiver 1995 , pp. 755 - 768
Copyright
Copyright © Canadian Association on Gerontology 1995

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