Quality of Municipal Long-Term Care in Different Models of Care: A Cross-Sectional Study From Norway.

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES
Health Services Insights Pub Date : 2023-07-17 eCollection Date: 2023-01-01 DOI:10.1177/11786329231185537
Hanne Marie Rostad, Lisa Victoria Burrell, Marianne Sundlisæter Skinner, Ragnhild Hellesø, Maren Kristine Raknes Sogstad
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Abstract

The quality of care remains a critical concern for health systems around the globe, especially in an era of unprecedented financial challenges and rising demands. Previous research indicates large variation in several indicators of quality in the long-term care setting, highlighting the need for further investigation into the factors contributing to such disparities. As different ways of delivering long-term care services likely affect quality of care, the objectives of our study is to investigate (1) variation in structure, process and outcome quality between municipalities, and (2) to what extent variation in quality is associated with municipal models of care and structural characteristics. The study had a cross-sectional approach and we utilized data on the municipal level from 3 sources: (1) a survey for models of care (2) Statistics Norway for municipal structural characteristics and (3) the National Health Care Quality Indicator System. Descriptive statistics showed that the Norwegian long-term care sector performs better (measured as percentage or probability) on structure (85.53) and outcome (84.86) quality than process (37.85) quality. Hierarchical linear regressions indicated that municipal structural characteristics and model of care had very limited effect on the quality of long-term care. A deeper understanding of variation in service quality may be found at the micro level in healthcare workers' day-to-day practice.

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不同护理模式下的市政长期护理质量:挪威的一项横断面研究。
医疗质量仍然是全球医疗系统关注的一个重要问题,尤其是在面临前所未有的财政挑战和需求不断增长的时代。以往的研究表明,在长期护理环境中,几项质量指标的差异很大,这凸显了进一步调查造成这种差异的因素的必要性。由于提供长期护理服务的不同方式可能会影响护理质量,我们的研究目标是调查:(1)不同城市之间在结构、过程和结果质量方面的差异;(2)质量差异在多大程度上与城市护理模式和结构特征有关。研究采用横截面方法,我们利用了来自三个方面的市级数据:(1)护理模式调查;(2)挪威统计局的市政结构特征;(3)国家医疗质量指标系统。描述性统计显示,挪威长期护理行业在结构质量(85.53)和结果质量(84.86)方面的表现(以百分比或概率衡量)优于过程质量(37.85)。层次线性回归表明,市政结构特征和护理模式对长期护理质量的影响非常有限。要更深入地了解服务质量的差异,可以从医护人员的日常实践这一微观层面入手。
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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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