title: Does Nursing Home Ownership Change Affect Family Ratings on Experience with Care?
abstract: Person-centeredness may suffer in nursing homes (NHs) with recent ownership changes. This study identifies associations between ownership change and reported care experiences, important measures of person-centered care for long-term residents in Maryland NHs. Care experience measures and ownership change data were collected from Maryland Health Care Commission reports, which reported data on 220 Maryland NHs from 2011 and 2012. Facility and market covariates were obtained from 2011 NH Compare and Area Health Resource Files. Linear regression was used to examine whether ownership change in 2011 was associated with lower care experience ratings reported during April to June 2012. Dependent variables were overall care rating (scale 1-10), percentage of respondents answering that they would recommend the NH, and assessments of five care and resident life domains (scale 1-4). Care experiences reported in 2012 were high; however, after controlling for covariates, ownership change was associated with significant decreases in 6 out of 7 measures, including a 0.39-point decrease in overall care rating (p = .001). NH managers and policy makers should consider strategies to improve patient-centeredness after ownership change.
authors.affiliation: a Doctoral Candidate, Department of Public Health Sciences, Division of Health Policy and Outcomes Research , University of Rochester Medical Center , Rochester , New York , USA.
authors.forename: Lauren J
authors.initials: LJ
authors.lastname: Campbell
authors.affiliation: b Research Public Health Analyst , RTI International , Waltham , Massachusetts , USA.
authors.forename: Qinghua
authors.initials: Q
authors.lastname: Li
authors.affiliation: c Associate Professor, Department of Public Health Sciences, Division of Health Policy and Outcomes Research , University of Rochester Medical Center , Rochester , New York , USA.
authors.forename: Yue
authors.initials: Y
authors.lastname: Li
mesh_terms: D000368:Aged; D003258:Consumer Behavior; D005190:Family / Q000523:psychology*; D019538:Health Care Surveys; D006801:Humans; D016014:Linear Models; D008134:Long-Term Care; D008396:Maryland; D009735:Nursing Homes / Q000458:organization & administration*; D010067:Ownership; D018802:Patient-Centered Care / Q000458:organization & administration; D011787:Quality of Health Care
keywords: long-term residents; nursing home ownership change; nursing homes; person-centered care; quality of care