Facility charter and quality of care for board and care residents.
In this investigation structure, process, and outcome measures of quality in for-profit and not-for-profit board and care homes are compared. We find one structural measure (providing nursing care), three process measures (food quality, staff treat residents with respect, and staff verbally abuse residents), and two outcomes measures (cleanliness of the facility and complaints to Ombudsman) to be significant. Moreover, the directions of these effects are all consistent, with for-profit facilities rated more poorly that not-for-profit facilities. These results are discussed emphasizing their implications for efficient and effective resident care.
Castle
Nicholas G
NG
Graduate School of Public Health, Pittsburgh, PA 15261, USA. CASTLEN@Pitt.edu
D000058:Accidental Falls / Q000706:statistics & numerical data; D000368:Aged; D004552:Elder Abuse / Q000706:statistics & numerical data; D005260:Female; D016352:Group Homes / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D006208:Halfway Houses / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006269:Health Facilities, Proprietary / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D008004:Licensure / Q000706:statistics & numerical data; D008297:Male; D009096:Multi-Institutional Systems; D009723:Nurse-Patient Relations; D009939:Organizations, Nonprofit / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data*; D010067:Ownership; D019984:Quality Indicators, Health Care; D014481:United States