Impact of regulation and financing on small board-and-care homes in Maryland.
States use forms of regulation in small board-and-care homes to control quality; however, quality varies in spite of these efforts. This study of 94 small facilities compared quality of care measures in homes regulated by a state-administered program with those in nonregulated homes. It also compared homes on those variables using average payment for services as the independent variable. Results indicate that higher payments for services had a greater impact on quality than did participation in a regulatory program. Adequate funding may be key to maintaining reasonable quality in these homes.
Lyon
S M
SM
Center for Health Program Development and Management, University of Maryland Baltimore County, MD 21250, USA.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D005161:Facility Regulation and Control / Q000331:legislation & jurisprudence*; D005260:Female; D006077:Government Agencies; D016352:Group Homes / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D006801:Humans; D007407:Interviews as Topic; D008134:Long-Term Care / Q000191:economics / Q000592:standards; D008297:Male; D008396:Maryland; D008875:Middle Aged; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care / Q000191:economics* / Q000331:legislation & jurisprudence*