Person-Centered Care Practices in Long-Term Care in the Deep South: Consideration of Structural, Market, and Administrator Characteristics.
The purpose of this study was to identify structural, market, and administrator factors of nursing homes that are related to the implementation of person-centered care. Administrators of Medicare/Medicaid-certified nursing homes in the Deep South were invited to complete a standardized survey about their facility and their perceptions and attitudes regarding person-centered care practices (PCCPs). Nursing home structural and market factors were obtained from public websites, and these data were matched with administrator data. Consistent with the resource-based theory of competitive advantage, nursing homes with greater resources and more competition were more likely to implement PCCPs. Implementation of person-centered care was also higher in nursing homes with administrators who perceived culture change implementation to be feasible in their facilities. Given that there is a link between resource availability and adoption of person-centered care, future research should investigate the cost of such innovations.
1 The University of Alabama, Tuscaloosa, USA.
M Lindsey
ML
Jacobs
1 The University of Alabama, Tuscaloosa, USA.
A Lynn
AL
Snow
1 The University of Alabama, Tuscaloosa, USA.
Patricia A
PA
Parmelee
1 The University of Alabama, Tuscaloosa, USA.
Jullet A
JA
Davis
D000288:Administrative Personnel; D000328:Adult; D001290:Attitude; D004465:Economic Competition; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000458:organization & administration*; D015279:Organizational Culture; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*; D015144:Southeastern United States; D011795:Surveys and Questionnaires
culture change; long-term care; nursing home; person-centered