Medical Staffing Organization and Quality of Care Outcomes in Post-acute Care Settings.
Gerontologist
; 61(4): 605-614, 2021 06 02.
Article
em En
| MEDLINE
| ID: mdl-33146724
ABSTRACT
BACKGROUND AND OBJECTIVES:
Medical providers are significant drivers of care in post-acute long-term care (PALTC) settings, yet little research has examined the medical provider workforce and its role in ensuring quality of care. RESEARCH DESIGN ANDMETHODS:
This study examined the impact of nursing home medical staffing organization (NHMSO) dimensions on the quality of care in U.S. nursing homes. The principal data source was a survey specifically designed to study medical staff organization for post-acute care. Respondents were medical directors and attending physicians providing PALTC. We linked a number of medical provider and nursing home characteristics to the Centers for Medicaid and Medicare Services Nursing Home Compare quality measures hypothesized to be sensitive to input by medical providers.RESULTS:
From the sample of nursing home medical providers surveyed (n = 1,511), 560 responses were received, yielding a 37% response rate; 425 medical provider responses contained sufficient data for analysis. The results of the impact of NHMSO dimensions were mixed, with many domains not having any significance or having negative relationships between provider characteristics and quality measures. Respondents who reported having a formal process for granting privileges and nursing homes with direct employment of physicians reported significantly fewer emergency visits. DISCUSSION AND IMPLICATIONS Further research is needed regarding what quality measures are sensitive to both medical provider characteristics and NHMSO characteristics.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade da Assistência à Saúde
/
Cuidados Semi-Intensivos
Limite:
Aged
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Gerontologist
Ano de publicação:
2021
Tipo de documento:
Article