Organizational determinants of service quality in nursing homes

Article Abstract:

Several factors in nursing home organizations affect family members' and friends' impressions of the quality of health care provided to their loved ones, according to a comprehensive study. In general, perceptions of quality service decreases as facility size increases. Other factors, such as a nonprofit approach, increased services, and optimal staffing were shown to increase the quality of service. The effect of government policy and regulation of health-care service remains undetermined. The study surveyed more than 400 family members who visited 41 different nursing homes.

Care and treatment, Surveys, Health facilities, Patients, Patient care

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Managerial responses to Medicaid prospective payment in the nursing home sector

Article Abstract:

Surveys of long-term care administrators show that reform efforts in the sector should take the internal facility environment into account. Administrators at nursing homes in Maine were surveyed twice to compare their managerial practices before and after a state Medicaid reimbursement policy went into effect. Although cost controls, incentives, and other profit maximizers worked as predicted, staffing, patient load, staff pay, and other areas of administration showed unexpected results.

Medicaid, Administration of Public Health Programs, General Medical and Surgical Hospitals, General medical & surgical hospitals, Long-Term Care Hospitals, Medical policy, Health policy, Nursing home management, Long-term care facilities, Long term care facilities

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How well trained are nursing home administrators?

Article Abstract:

Long-term healthcare providers, policymakers, and academicians should work together to improve academic training for nursing home administrators. At present, standards vary widely, partly because requirements for licensing are so generalized. A restructured educational system would require specialized training in long-term care that includes gerontological nursing.

Training, Nursing home administrators

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