Evaluating Quality of Long Term Care

评估长期护理的质量

基本信息

批准号：
6821040
负责人：
DAVID Scott ZINGMOND
金额：
$ 11.64万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-09-01 至 2009-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6821040
关键词：
behavioral /social science research tag extended care extended care facility functional ability geriatrics health care quality health care service evaluation health care service utilization health services research tag home health care hospices human data human mortality human old age (65+)nursing homes outcomes research terminal patient care

项目摘要

DESCRIPTION (provided by applicant): The purpose of this career development award is to support Dr. Zingmond in establishing a career in improving the quality of geriatric care. Dr. Zingmond's overall goal is to examine the medical and nursing processes of care among older individuals receiving institutional and home-based long-term care and in turn, how these processes of care can be related to primary and secondary measures of outcome. This process-oriented approach extends prior work in quality of long-term care that has focused primarily on outcomes-based performance measures. Yet, outcomes do not pinpoint what to do and a lack of adverse events does not necessarily indicate good care. Evaluation of long-term care quality is still in its infancy in part due to the poorer general health of these patients, the complex nature of the goals and outcomes of care, and the lack of routinely collected measures of patient health, care received, or outcomes relevant to long-term care. It is important to understand (1) how patient and provider characteristics affect patient care, (2) how care processes can be measured and related with patient outcomes, and (3) which processes are effective in reducing undesired outcomes across the spectrum of long-term care, from home-based care to nursing home care. The proposed research has 3 aims that will form the basis for Dr. Zingmond's future work. In summary, the specific aims of this mentored career development award are to: 1. Adapt consensus expert quality indicators of processes of care for individuals receiving (a) homebased or (b) institutional long-term care to administrative data; And Characterize the quality of long-term care delivered to patients in California. 2. Examine the impact of process of care on maintaining function, preventing over-utilization, and decreasing mortality among nursing home recipients. 3. Examine the impact of process of care on maintaining independence and function, preventing over-utilization, and decreasing mortality among home care recipients.

描述（由申请人提供）：该职业发展奖的目的是支持 Zingmond 博士建立提高老年护理质量的职业生涯。 Zingmond 博士的总体目标是检查接受机构和家庭长期护理的老年人的医疗和护理过程，以及这些护理过程如何与主要和次要结果衡量指标相关。这种以过程为导向的方法扩展了先前在长期护理质量方面的工作，这些工作主要侧重于基于结果的绩效衡量。然而，结果并不能确定该做什么，并且没有不良事件并不一定意味着得到了良好的护理。对长期护理质量的评估仍处于起步阶段，部分原因是长期护理质量较差这些患者的护理目标和结果的复杂性，以及缺乏定期收集的患者健康、接受的护理或与长期护理相关的结果的衡量标准。重要的是要了解（1）患者和提供者的特征如何影响患者护理，（2）如何衡量护理过程并将其与患者结果相关联，以及（3）哪些过程可以有效减少长期护理范围内的不良结果。定期护理，从家庭护理到疗养院护理。拟议的研究有 3 个目标，这将成为 Zingmond 博士未来工作的基础。总之，这个指导性职业发展奖的具体目标是： 1. 根据行政数据调整接受（a）家庭或（b）机构长期护理的个人的护理过程的共识专家质量指标；并描述为加州患者提供的长期护理的质量。 2. 检查护理过程对疗养院接受者维持功能、防止过度利用和降低死亡率的影响。 3. 检查护理过程对保持家庭护理接受者的独立性和功能、防止过度利用和降低死亡率的影响。