Observational Evidence of For-Profit Delivery and Inferior Nursing Home Care: When Is There Enough Evidence for Policy Change?
Margaret McGregor and colleagues consider Bradford Hill's framework for examining causation in observational research for the association between nursing home care quality and for-profit ownership.
Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada.
Lisa A
LA
Ronald
Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada.
Margaret J
MJ
McGregor
School of Nursing, University of California, San Francisco, San Francisco, California, United States of America.
Charlene
C
Harrington
Queen Mary, University of London, London, United Kingdom.|Centre for Primary Care and Public Health, Blizard Institute, Barts and The London School of Medicine and Dentistry, London, United Kingdom.
Allyson
A
Pollock
School of Health Policy and Management at York University, Toronto, Ontario, Canada.|Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
Joel
J
Lexchin
D000368:Aged; D003132:Commerce / Q000191:economics / Q000331:legislation & jurisprudence* / Q000592:standards / Q000639:trends; D003284:Contract Services / Q000191:economics / Q000331:legislation & jurisprudence* / Q000592:standards / Q000639:trends; D017046:Cost Savings; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000191:economics / Q000331:legislation & jurisprudence* / Q000592:standards / Q000639:trends; D019317:Evidence-Based Medicine / Q000331:legislation & jurisprudence; D016330:Frail Elderly; D017048:Health Care Costs; D005102:Health Expenditures; D006291:Health Policy / Q000191:economics / Q000331:legislation & jurisprudence* / Q000639:trends; D006302:Health Services Research; D006707:Homes for the Aged / Q000191:economics / Q000331:legislation & jurisprudence* / Q000592:standards / Q000639:trends; D006801:Humans; D009735:Nursing Homes / Q000191:economics / Q000331:legislation & jurisprudence* / Q000592:standards / Q000639:trends; D064887:Observational Studies as Topic; D010067:Ownership / Q000191:economics / Q000331:legislation & jurisprudence* / Q000592:standards / Q000639:trends; D011050:Policy Making; D058996:Quality Improvement / Q000331:legislation & jurisprudence; D019984:Quality Indicators, Health Care / Q000191:economics / Q000331:legislation & jurisprudence* / Q000592:standards / Q000639:trends; D013997:Time Factors; D035862:Vulnerable Populations / Q000331:legislation & jurisprudence