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Journal articles on the topic 'Home care quality'

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Published: 19 February 2023

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1

Williams, Ruth. "Quality care at home." Cancer Nursing Practice 11, no. 1 (February 9, 2012): 37. http://dx.doi.org/10.7748/cnp.11.1.37.s10.

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2

Eustis, N. N., R. A. Kane, and L. R. Fischer. "Home Care Quality and the Home Care Worker: Beyond Quality Assurance as Usual." Gerontologist 33, no. 1 (February 1, 1993): 64–73. http://dx.doi.org/10.1093/geront/33.1.64.

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3

Kleinman, Leona. "Quality in Nursing Home Care." Journal of Gerontological Nursing 20, no. 3 (March 1, 1994): 5. http://dx.doi.org/10.3928/0098-9134-19940301-03.

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4

Cohen-Mansfield, Jiska, Barbara Jensen, Barbara Resnick, and Margaret Norris. "Quality of Nursing Home Care." Journal of Nursing Care Quality 27, no. 1 (2012): 70–76. http://dx.doi.org/10.1097/ncq.0b013e31822f2e81.

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5

Terry, Margaret, and Molly Smith. "Quality Measures in Home Care." Home Healthcare Now 33, no. 7 (2015): 401–2. http://dx.doi.org/10.1097/nhh.0000000000000267.

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6

Hankwitz, Paul E. "Quality Assurance in Home Care." Clinics in Geriatric Medicine 7, no. 4 (November 1991): 847–64. http://dx.doi.org/10.1016/s0749-0690(18)30524-x.

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7

Winston, Elaine R., Alexander Pelaez, and B. Dawn Medlin. "Will Quality Measures Debunk Quality Care in the Nursing Home Industry?" International Journal of Public and Private Perspectives on Healthcare, Culture, and the Environment 5, no. 1 (January 2021): 18–28. http://dx.doi.org/10.4018/ijppphce.2021010102.

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This research analyzes publicly available information on the quality of services delivered by healthcare organizations. The accessibility and transparency of healthcare data is exponentially growing. Due to the complexity of different provider groups in healthcare, the focus is on the nursing home industry. A key objective of this research is to explore any association among the government-defined quality ratings, cost-effectiveness, and quality care provided by a nursing home. Quality and performance metrics for all nursing homes that receive reimbursements from CMS is in the public domain. The CMS purports that nursing homes with high overall star ratings provide excellent healthcare to their residents. A surprising result from this study found high-quality-rated nursing homes with more nurse hours per resident provided lower quality care than nursing homes, which had lower nursing hours per resident. The research also suggests that healthcare organizations, such as nursing homes, acquire business analytics (BA) capabilities for specific government metrics.
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8

Nikmat, Azlina Wati, Graeme Hawthorne, and S. Hassan Al-Mashoor. "Quality of life in dementia patients: nursing home versus home care." International Psychogeriatrics 23, no. 10 (June 24, 2011): 1692–700. http://dx.doi.org/10.1017/s1041610211001050.

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ABSTRACTBackground: Care management providing a high quality of life (QoL) is a crucial issue in dealing with increasing numbers of dementia patients. Although the transition from informal (home-based) care to formal (institutional) care is often a function of dementia stage, for those with early dementia there is currently no definitive evidence showing that informal or formal care provides a higher QoL, particularly where informal care is favored for local cultural reasons. This paper outlines the research protocol for a study comparing formal and informal care in Malaysia. It seeks to provide evidence regarding which is more appropriate and results in higher QoL in early dementia.Methods: This is a quasi-experimental study design involving 224 early dementia patients from both nursing home and community settings. Participants will be assessed for cognitive severity, QoL, needs, activities of daily living, depression and social isolation/connectedness by using the Mini-Mental State Examination (MMSE), Cognitive Impairment Scale – 4 items (CIS-4), EUROPE Health Interview Survey-Quality of Life (WHO8), Assessment of Quality of Life (AQoL8), Camberwell Assessment of Need for the Elderly – Short Version (CANE-S), Barthel Index (BI), Cornell Scale for Depression (CSDD), Geriatric Depression Scale – 15 items (GDS-15), and Friendship Scale (FS) respectively.Conclusion: This study aims to provide a better understanding of care needs in early dementia. Given population aging, the study findings will provide evidence assisting decision-making for policies aimed at reducing the burden of caregiving and preserving the QoL of dementia patients.
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9

Grøndahl, Vigdis Abrahamsen, and Liv Berit Fagerli. "Nursing home care quality: a cluster analysis." International Journal of Health Care Quality Assurance 30, no. 1 (February 13, 2017): 25–36. http://dx.doi.org/10.1108/ijhcqa-12-2015-0145.

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Purpose The purpose of this paper is to explore potential differences in how nursing home residents rate care quality and to explore cluster characteristics. Design/methodology/approach A cross-sectional design was used, with one questionnaire including questions from quality from patients’ perspective and Big Five personality traits, together with questions related to socio-demographic aspects and health condition. Residents (n=103) from four Norwegian nursing homes participated (74.1 per cent response rate). Hierarchical cluster analysis identified clusters with respect to care quality perceptions. χ2 tests and one-way between-groups ANOVA were performed to characterise the clusters (p<0.05). Findings Two clusters were identified; Cluster 1 residents (28.2 per cent) had the best care quality perceptions and Cluster 2 (67.0 per cent) had the worst perceptions. The clusters were statistically significant and characterised by personal-related conditions: gender, psychological well-being, preferences, admission, satisfaction with staying in the nursing home, emotional stability and agreeableness, and by external objective care conditions: healthcare personnel and registered nurses. Research limitations/implications Residents assessed as having no cognitive impairments were included, thus excluding the largest group. By choosing questionnaire design and structured interviews, the number able to participate may increase. Practical implications Findings may provide healthcare personnel and managers with increased knowledge on which to develop strategies to improve specific care quality perceptions. Originality/value Cluster analysis can be an effective tool for differentiating between nursing homes residents’ care quality perceptions.
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10

Row, Constance. "Quality Measures For Home-Based Care." Health Affairs 34, no. 4 (April 2015): 716. http://dx.doi.org/10.1377/hlthaff.2015.0206.

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11

Schirm, Victoria, Terry Albanese, and Neal T. Garland. "Understanding Nursing Home Quality of Care." Quality Management in Health Care 8, no. 1 (1999): 55–63. http://dx.doi.org/10.1097/00019514-199908010-00007.

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12

Kane, Robert L. "Assuring Quality in Nursing Home Care." Journal of the American Geriatrics Society 46, no. 2 (February 1998): 232–37. http://dx.doi.org/10.1111/j.1532-5415.1998.tb02545.x.

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13

Meisenheimer, Claire. "Quality Assurance for Home Health Care." Journal For Healthcare Quality 13, no. 4 (July 1991): 42–43. http://dx.doi.org/10.1097/01445442-199107000-00027.

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14

Schroeder, Patricia. "Total Quality Management for Home Care." Journal of Nursing Care Quality 11, no. 1 (October 1996): 70. http://dx.doi.org/10.1097/00001786-199610000-00015.

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15

HUGHES, FLORENCE S. Y. "Quality Assurance in Home Care Services." Nursing Management (Springhouse) 18, no. 12 (December 1987): 33???36. http://dx.doi.org/10.1097/00006247-198712000-00009.

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16

Travers, Jasmine. "ACHIEVING EQUITABLE QUALITY OF CARE FOR NURSING HOME RESIDENTS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 59. http://dx.doi.org/10.1093/geroni/igac059.230.

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Abstract Inequities in care delivery within nursing homes are pervasive across the United States. Racial and ethnic minority residents disproportionately reside in nursing homes of poorer quality, lower staffing, and fewer resources when compared to their White counterparts. Dr. Jasmine Travers, a health services researcher at New York University and with expertise in disparities and long-term care, will present on recommendations to achieving equitable quality of care for nursing home residents.
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17

Harrington, Charlene, Steffie Woolhandler, Joseph Mullan, Helen Carrillo, and David U. Himmelstein. "Does Investor-Ownership of Nursing Homes Compromise the Quality of Care?" International Journal of Health Services 32, no. 2 (April 2002): 315–25. http://dx.doi.org/10.2190/ebcn-wecv-c0nt-676r.

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Quality problems have long plagued the nursing home industry. While two-thirds of U.S. nursing homes are investor-owned, few studies have examined the impact of investor-ownership on the quality of care. The authors analyzed 1998 data from inspections of 13,693 nursing facilities representing virtually all U.S. nursing homes. They grouped deficiency citations issued by inspectors into three categories (“quality of care,” “quality of life,” and “other”) and compared deficiency rates in investor-owned, nonprofit, and public nursing homes. A multivariate model was used to control for case mix, percentage of residents covered by Medicaid, whether the facility was hospital-based, whether it was a skilled nursing facility for Medicare only, chain ownership, and location by state. The study also assessed nurse staffing. The authors found that investor-owned nursing homes provide worse care and less nursing care than nonprofit or public homes. Investor-owned facilities averaged 5.89 deficiencies per home, 46.5 percent higher than nonprofit and 43.0 percent higher than public facilities, and also had more of each category of deficiency. In the multivariate analysis, investor-ownership predicted 0.679 additional deficiencies per home; chain-ownership predicted an additional 0.633 deficiencies per home. Nurse staffing ratios were markedly lower at investor-owned homes.
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18

Bos, Judith T., Dinnus H. M. Frijters, Cordula Wagner, G. Iain Carpenter, Harriet Finne-Soveri, Eva Topinkova, Vjenka Garms-Homolová, et al. "Variations in quality of Home Care between sites across Europe, as measured by Home Care Quality Indicators." Aging Clinical and Experimental Research 19, no. 4 (August 2007): 323–29. http://dx.doi.org/10.1007/bf03324709.

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19

Evans, Marc. "Care assistant regulation would help improve care home quality." Nursing Standard 28, no. 42 (June 18, 2014): 34. http://dx.doi.org/10.7748/ns.28.42.34.s40.

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20

Bradley, Robert H., Bettye M. Caldwell, and Robert F. Corwyn. "The Child Care HOME Inventories: assessing the quality of family child care homes." Early Childhood Research Quarterly 18, no. 3 (September 2003): 294–309. http://dx.doi.org/10.1016/s0885-2006(03)00041-3.

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21

Ruiz-Mendoza, E., A. Penart, I. Obi, E. Addison, and H. Clark. "37 Enhance GP-Geriatrician Care Homes Multidisciplinary Team." Age and Ageing 49, Supplement_1 (February 2020): i9—i10. http://dx.doi.org/10.1093/ageing/afz184.04.

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Abstract Introduction Peterborough Care Home Support Team (CHST) have worked on a small pilot of 4 care homes with a local GP and an interface geriatrician to address the complex needs of the residents within those care homes to improve patient experience, quality of care and reduce attendances and admissions to hospital in a geographical area of 5000 care home beds. Methods The multidisciplinary team (MDT) consisted of a General Practitioner, Interface Geriatrician, Pharmacist from the medicine optimisation team and Care Home Support Team member with once a month meeting in the selected Care Home. We measure the impact of our intervention comparing the data predating our intervention comparing 4 selected care homes with high A&E attendances in each period 2017 and 2018. Results 50% reduction in hospital attendances with £4985.48 cost saving following medication review in the 4 care homes under study. Conclusions Commissioners, Local Authorities and Care Home Providers have started to look towards more innovative solutions to improve patient experience, quality of care and reduce attendances and admissions to hospital. Our experience and results aim to consider enhance GP-Geriatrician Care Homes MDT as a good model of care.
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22

Murray, Laura A., and Melinda Heinz. "QUALITY OF CARE IN A LONG-TERM CARE COMMUNITY." Innovation in Aging 3, Supplement_1 (November 2019): S506. http://dx.doi.org/10.1093/geroni/igz038.1871.

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Abstract Older adults may need to reside in long-term care facilities for additional assistance. However, research indicates differences in the quality of care. The purpose of this study was to conduct a naturalistic observation, recording factors affecting the quality of care residents received in a long-term care community. Over a three-week period, observations took place in the nursing home, assisted living, and memory care portions of the community. We predicted that there would be more issues negatively impacting quality of care in the nursing home area due to its medical model philosophy. Open-observations were recorded, coded, and analyzed for themes. Results indicated that the most significant issue influencing quality of care in all areas of the long-term care facility was communication (N = 57 recorded instances). Approximately 66% of recorded communication issues in the nursing home were negative compared to positive (25%) or neutral (8%) instances. Elderspeak was prevalent with staff using high pitched voices or saying “hun” to residents. At times, staff spoke too loudly to residents who did not have hearing impairment or would talk about residents in front of other residents, not taking into consideration privacy. In the memory care environment, positive examples were noted. Staff was friendly and worked together as a team, creating a positive work environment. Overall, results indicated staff members may need professional development in the area of communication, particularly staff working in the nursing home. In addition, reminding staff while it is their workplace it is also the resident’s home would be beneficial.
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Galambos, Colleen. "ACHIEVING QUALITY PATIENT-CENTERED CARE IN THE NURSING HOME SETTING." Innovation in Aging 6, Supplement_1 (November 1, 2022): 58. http://dx.doi.org/10.1093/geroni/igac059.228.

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Abstract In 1987, The Nursing Home Reform Act was enacted as part of the Omnibus Reconciliation Act of 1987 (OBRA 87). At that time, the Health Care Finance Administration (now Centers for Medicare and Medicaid Services) issued comprehensive regulations and survey processes to “ensure that residents of nursing homes receive quality care that will result in their highest practicable physical, mental, and social well-being.” Despite this landmark legislation, nursing homes struggle to provide quality care, and are additionally challenged by natural disasters and pandemics. This presentation will report on recommendations that examine, structures, policies, and care models that promote change and innovation, with a focus on safety, environmental modifications, patient centered approaches, and quality care. Dr. Colleen Galambos, a professor at University of Wisconsin-Milwaukee, with expertise in nursing home care delivery and quality improvement will present the care delivery recommendations from the NASEM report.
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24

Devi, Reena, Graham Martin, Jay Banerjee, Louise Butler, Tim Pattison, Lesley Cruickshank, Caroline Maries-Tillott, et al. "Improving the Quality of Care in Care Homes Using the Quality Improvement Collaborative Approach: Lessons Learnt from Six Projects Conducted in the UK and The Netherlands." International Journal of Environmental Research and Public Health 17, no. 20 (October 19, 2020): 7601. http://dx.doi.org/10.3390/ijerph17207601.

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The Breakthrough Series Quality Improvement Collaborative (QIC) initiative is a well-developed and widely used approach, but most of what we know about it has come from healthcare settings. In this article, those leading QICs to improve care in care homes provide detailed accounts of six QICs and share their learning of applying the QIC approach in the care home sector. Overall, five care home-specific lessons were learnt: (i) plan for the resources needed to support collaborative teams with collecting, processing, and interpreting data; (ii) create encouraging and safe working environments to help collaborative team members feel valued; (iii) recruit collaborative teams, QIC leads, and facilitators who have established relationships with care homes; (iv) regularly check project ideas are aligned with team members’ job roles, responsibilities, and priorities; and (v) work flexibly and accept that planned activities may need adapting as the project progresses. These insights are targeted at teams delivering QICs in care homes. These insights demonstrate the need to consider the care home context when applying improvement tools and techniques in this setting.
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Anonymous. "Quality Home Care Threatened as 1990s Approach." Journal of Gerontological Nursing 15, no. 10 (October 1989): 34–35. http://dx.doi.org/10.3928/0098-9134-19891001-14.

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Fawcett, Jan. "Psychiatry, Life Quality, and Nursing Home Care." Psychiatric Annals 25, no. 7 (July 1, 1995): 406–7. http://dx.doi.org/10.3928/0048-5713-19950701-07.

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Jette, A. M., K. W. Smith, and S. M. McDermott. "Quality of Medicare-Reimbursed Home Health Care." Gerontologist 36, no. 4 (August 1, 1996): 492–501. http://dx.doi.org/10.1093/geront/36.4.492.

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28

Castle, Nicholas G. "Nursing Home Closures and Quality of Care." Medical Care Research and Review 62, no. 1 (February 2005): 111–32. http://dx.doi.org/10.1177/1077558704271728.

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Bolt, Timothy, Sadahiko Kano, and Akihisa Kodate. "Information quality in home care coordination services." Journal of Telemedicine and Telecare 13, no. 1_suppl (July 2007): 7–9. http://dx.doi.org/10.1258/135763307781645149.

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With the increasing use of telecare, attention is being given to the information quality (IQ) issues related to the collection, storage and sharing of user data. This is particularly true for personal information and informal information flows between caregivers and care service providers. We examined data from interviews with developers and users during the pilot stage of a Web and mobile phone accessible database and software application to support carers by providing access to personal care records. The standard IQ dimensions reflect a view in which the supplier passes information to the user. This does not fully reflect the relationship and information flow in care record systems which hold and collect quite personal user data. The three additional IQ dimensions necessary are updateability, interoperability and portability — these form a new category, ‘Controllability IQ’.
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Drinkwater, C., and G. Greveson. "Quality in nursing home care: whose responsibility?" Quality and Safety in Health Care 6, no. 3 (September 1, 1997): 118–19. http://dx.doi.org/10.1136/qshc.6.3.118.

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31

Stricklin, Mary Lou V. "Home Care Consumers Speak Out on Quality." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 11, no. 6 (November 1993): 10–17. http://dx.doi.org/10.1097/00004045-199311000-00002.

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32

Keating, Sarah B. "Quality-of-Life issues in home care." Geriatric Nursing 16, no. 2 (March 1995): 89–91. http://dx.doi.org/10.1016/s0197-4572(05)80013-8.

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Jatulis, Linnea. "Total quality managemnt and home health care." Geriatric Nursing 15, no. 4 (July 1994): 223–24. http://dx.doi.org/10.1016/s0197-4572(09)80015-3.

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SCHNEIDER, MARY ELLEN. "Medical Home Improves Patient Quality of Care." Skin & Allergy News 38, no. 9 (September 2007): 73. http://dx.doi.org/10.1016/s0037-6337(07)70753-2.

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35

Harrington, Charlene, Leslie A. Grant, Stanley R. Ingman, and Sherry A. Hobson. "The Regulation of Home Health Care Quality." Journal of Applied Gerontology 10, no. 1 (March 1991): 53–70. http://dx.doi.org/10.1177/073346489101000105.

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36

Moseley, Charles B. "Nursing Home Ownership and Quality of Care." Journal of Applied Gerontology 13, no. 4 (December 1994): 386–97. http://dx.doi.org/10.1177/073346489401300404.

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37

Stover Gingerich, Barbara. "Center for Home Care Quality and Research." Home Health Care Management & Practice 21, no. 2 (November 5, 2008): 127–28. http://dx.doi.org/10.1177/1084822308325424.

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38

Hood, Jacqueline N., and Howard L. Smith. "Quality of Work Life in Home Care." JONA: The Journal of Nursing Administration 24, no. 1 (January 1994): 40–47. http://dx.doi.org/10.1097/00005110-199401000-00012.

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39

Shaw, Penelope Ann. "Nursing Assistants and Quality Nursing Home Care." Journal of the American Medical Directors Association 15, no. 9 (September 2014): 609. http://dx.doi.org/10.1016/j.jamda.2014.06.010.

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40

Travers, Jasmine. "RECOMMENDATIONS TO IMPROVE NURSING HOME QUALITY: A DISCUSSION OF THE 2022 NASEM REPORT." Innovation in Aging 6, Supplement_1 (November 1, 2022): 58. http://dx.doi.org/10.1093/geroni/igac059.226.

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Abstract Every year approximately four million persons receive care in approximately 15,000 nursing homes across the U.S. The costs of this care exceed $168 billion per year and are projected to grow to $274 billion by 2024. Nursing homes have long been plagued by problems with quality of care.In 1986, the Institute of Medicine released, Improving the Quality of Care in Nursing Homes, a landmark report that fundamentally changed the nation’s approach to nursing home operation and regulation. However, three decades later, significant challenges with nursing home quality remain, many of which were brought to light during the COVID-19 pandemic. As a result, in 2020, the National Academies of Sciences, Engineering, and Medicine (NASEM) convened a panel of 17 experts in nursing home care to examine our nation’s approach to nursing home care, including clinical care, staffing, financing and payment, and regulation, with the goal of making recommendations for improving the quality of care in today’s nursing homes and ensuring the safety and well-being of nursing home residents and staff. Expert members represented areas of diversity, policy, regulation, education, technology, quality measurement and reporting, and clinical practice. The release of this report is April 2022.In this symposium, four committee members will present the main findings and recommendations from the forthcoming and highly-anticipated report, with a particular focus on care delivery, workforce, quality assurance & policy, and equity. During this session, an emphasis will be placed on how the presented recommendations can be incorporated into policy and practice.
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Calkins, Margaret P., and Jennifer Brush. "Improving Quality of Life in Long-Term Care." Perspectives on Gerontology 14, no. 2 (December 2009): 37–41. http://dx.doi.org/10.1044/gero14.2.37.

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Abstract The entire field of long-term care is under tremendous pressure to change. Traditional environmental approaches based on staff-centric or medical models are no longer considered appropriate in long-term care settings. The new emphasis is on person-centered or self-directed care. This is reflected in settings where people can live comfortably and feel at home, as opposed to feeling like they are in a hospital. Increasingly, nursing homes are working to be more like assisted living facilities, which emphasize privacy, dignity, and choice. These changes affect all aspects of care from structure of governance to staff training to management structure and facility design. This article will cover the issues and the possible solutions to ensuring that long-term care living is more like a home than a hospital.
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Adra, Marina Gharibian, John Hopton, and John Keady. "Nursing home quality of life in the Lebanon." Quality in Ageing and Older Adults 18, no. 2 (June 12, 2017): 145–56. http://dx.doi.org/10.1108/qaoa-01-2016-0002.

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Purpose The purpose of this paper is to explore perceptions, perspectives and meaning of quality of life for a sample of older residents, care staff and family caregivers in two nursing homes in Lebanon. Design/methodology/approach A classic grounded theory study was conducted between 2010 and 2011 in two nursing homes in Beirut. The semi-structured interviews were undertaken with a theoretical sample of 20 residents, 8 family caregivers and 11 staff. The constant comparative method was used to analyze the data. Findings Three distinct but interrelated properties of quality of life emerged from this process: “maintaining self,” “maintaining identity” and “maintaining continuity”. The dynamics that exist within and between each of these properties provide an indicator about shared and distinct meanings and the implications for care practice. Research limitations/implications The study was conducted in one city in Lebanon; accordingly, the transferability of findings may be challenging. Practical implications Implications for nursing and nursing policy – improving Lebanese national standards and regulations applicable to nursing home residents may help to enhance residents’ care needs and quality of life. Social implications There was limited guidance aimed at helping older residents to voice and increase their choice and control. Originality/value This paper provides new insights into the process of outlining the properties attached to the phenomenon of quality of life in nursing homes in Lebanon. It will be of interest to those in nursing home care as well as to policy makers.
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Xie, Shuyan, Yang Xiao, and Hsiao-Hwa Chen. "Nursing Homes and E-health." International Journal of Healthcare Delivery Reform Initiatives 1, no. 4 (October 2009): 48–67. http://dx.doi.org/10.4018/jhdri.2009100104.

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A nursing home provides skilled nursing care and rehabilitation services to people with illnesses, injuries or functional disabilities, but most facilities serve the elderly. Nursing homes provide various services for different residents’ needs, including daily care, assistance for the mentally disabled, and drug rehabilitation. The levels of care and quality of care provided by nursing homes have increased significantly over the past decade. The trend is toward continuous quality development and resident satisfaction; therefore, healthcare technology plays a significant role in nursing home operations. This article discusses general information about current nursing home conditions and systems in the United States and explores how technology and e-health help improve the nursing home development based on the present needs and trends. The authors also report on Thomasville Nursing Home, discussing current trends in nursing home technologies.
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Nikmat, Azlina Wati, S. Hassan Al-Mashoor, and Nurul Azreen Hashim. "Quality of life in people with cognitive impairment: nursing homes versus home care." International Psychogeriatrics 27, no. 5 (December 11, 2014): 815–24. http://dx.doi.org/10.1017/s1041610214002609.

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ABSTRACTBackground:The evaluation of quality of life (QoL) among older adults has become increasingly important, and living arrangements play a pivotal role in determining the QoL of people with cognitive impairment (PWCI). Although informal care (home-based) is favored, transition to formal care (residential care) often becomes necessary, especially in the later stages of cognitive impairment. The primary objective was to compare the QoL of PWCI in the community and nursing homes. Additionally, factors differentiate the QoL of PWCI in these two settings were identified.Methods:This is a quasi-experimental study design involving 219 older adults with cognitive impairment, aged 60–89 years old from both nursing home and home care. Participants completed the EUROPE Health Interview Survey-QoL (WHO-8), the Short Mini-Mental State Examination (SMMSE), the Barthel Index (BI), the Geriatric Depression Scale (GDS-15), and the Friendship Scale (FS).Results:There were significant differences in QoL, depression, social connectedness (p < 0.01) and cognitive functions (p = 0.01) between home care recipients and nursing home participants. No significant differences were observed with regards to health condition, co morbidities and physical functions between study cohorts.Conclusions:Older adults with cognitive impairment living at home experienced higher QoL, had better cognitive function, were less depressed and reported higher social connectedness compared to those living in institutional care. Therefore, support should be provided in enabling home care and empowering caregivers to provide better care for PWCI.
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Sisson, Susan, Hope Hetrick, Emily Stinner, Alicia Salvatore, Bethany Williams, Kathrin Eliot, and Karla Finnell. "O20 Family Child Care Home Menu Quality: Happy Healthy Homes Baseline." Journal of Nutrition Education and Behavior 53, no. 7 (July 2021): S9—S10. http://dx.doi.org/10.1016/j.jneb.2021.04.029.

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46

Chiang, Yu-Hsien, Hui-Chuan Hsu, Chiung-Ling Chen, Chen-Fen Chen, Shu-Nu Chang-Lee, Ya-Mei Chen, and Shang-Wei Hsu. "Evaluation of Reablement Home Care: Effects on Care Attendants, Care Recipients, and Family Caregivers." International Journal of Environmental Research and Public Health 17, no. 23 (November 26, 2020): 8784. http://dx.doi.org/10.3390/ijerph17238784.

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Background: The traditional home care model entails caring “for” people with disabilities, not “with” them. Reablement care has been applied to long-term care, but the evidence for care attendants, home care recipients, and family caregivers simultaneously is limited. Methods: First, a survey was conducted to explore the needs of home care recipients and family caregivers to achieve independence at home to develop the reablement home care model for home care. Then, an intervention with two groups was implemented. The experimental group included a total of 86 people who participated in the reablement home care model. The control group included 100 people and received usual home care. The self-reliance concept, job satisfaction, and sense of achievement for care attendants; quality of life for home care users; and caregiving burden for family caregivers were assessed. Results: The reablement home care model improved the job satisfaction and achievement of home care attendants, improved mutual support and independence in the self-reliance concept and quality of life among the users, and reduced the stress of the users and family caregivers. Conclusion: The reablement home care model improved the outcomes for providers, care recipients, and family caregivers. Reablement home care is suggested in long-term care policies.
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Yu, Lei, Xiao Qiu, and Na Sun. "DOES FIVE-STAR QUALITY RATING MATTER FOR NURSING HOME QUALITY DURING THE COVID-19 PANDEMIC?" Innovation in Aging 6, Supplement_1 (November 1, 2022): 396. http://dx.doi.org/10.1093/geroni/igac059.1559.

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Abstract Objectives Nursing homes (NH) confronted tremendous difficulties considering confirmed residents Covid-19 cases and deaths in the U.S. The Centers for Medicare & Medicaid Services (CMS) applies the Five-Star Quality Rating (FSQR) to indicate the quality of care in nursing homes based on health inspection surveys, staffing as well as care process and resident outcomes during the COVID-19 pandemic. This study aims to examine whether FSQR was related to the total number of NH resident Covid-19 cases and deaths.Design This study analyzed 6,978 nursing homes across the country with data from CMS Nursing Home Compare, CMS COVID-19 Nursing Home Public File, Long-term Care Focus, Payroll Based Journal, Rural-Urban Commuting Area. Negative binomial regressions were used to investigate associations between FSQR and NH COIVD-19 outcomes controlling for state fixed effects and clustering of nursing homes within counties. The characteristics of facility, residents, payer-mix, nursing staff, and geographic location were also controlled. ResultsComparing to NH with 1-star in Health Inspection, Staffing, or Overall ratings, NH with better performance have lower risk of having increased number of COVID cases and deaths among residents. Further, nursing home Quality Measures rating is not significantly associated with residents’ COVID-19 deaths. ConclusionOverall, the FSQR is a useful measure of quality in part when investigating NH’s performance during the COVID-19 pandemic. Future policymakers should pay special attention to providers performing poorly in FSQR when improving the quality of nursing homes, particularly regarding infection control.
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Landers, Steven H. "National Quality-of-Care Standards in Home-Based Primary Care." Annals of Internal Medicine 147, no. 6 (September 18, 2007): 432. http://dx.doi.org/10.7326/0003-4819-147-6-200709180-00018.

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Smith, Kristofer L., Theresa A. Soriano, and Jeremy Boal. "National Quality-of-Care Standards in Home-Based Primary Care." Annals of Internal Medicine 147, no. 6 (September 18, 2007): 432. http://dx.doi.org/10.7326/0003-4819-147-6-200709180-00019.

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50

Boling, Peter A. "Understanding Quality of Care in Medicare Home Health Agency Care." Journal of the American Geriatrics Society 65, no. 12 (September 27, 2017): 2557–58. http://dx.doi.org/10.1111/jgs.15024.

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