Douglas R Whitman, Robert Weech-Maldonado, Ganisher Davlyatov, Nathaniel Carroll, Amy Landry, Pia Bisakha Sen
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引用次数: 0
Abstract
Nursing homes are under immense pressure to improve quality. The purpose of this study was to determine if there is a relationship between registered nurse (RN) skill mix (proportion of RN hours among all nursing staff hours) and higher quality measure (QM) star ratings. Data sets from 2021-2022 were utilized from the American Community Survey, Centers for Medicare and Medicaid Services (CMS), Medicare Cost Reports, Payroll-Based Journal, and Care Compare. The final analytic sample was 14,556 unique nursing homes. Ordered logistic regression was used to examine the relationship between RN skill mix (independent variable) and QM star ratings (dependent variable). The study found that RN skill mix is positively associated with QM star ratings. For a 1% increase in RN proportion, the odds of being in a higher QM star rating category increase by 4% (OR = 1.04, p < .001). This study fills two significant gaps in prior literature by relying on more accurate nurse labor hours through electronic payroll records vs. self-reported data, and by using the government standard of 15 quality measures vs. a few selected metrics. The results have implications for policymakers to incentivize improved quality, and for nursing home administrators to improve QM star ratings.
疗养院面临着提高质量的巨大压力。本研究的目的是确定注册护士（RN）的技能组合（RN工时占所有护理人员工时的比例）与高质量测量（QM）星级评分之间是否存在关系。2021-2022年的数据集来自美国社区调查、医疗保险和医疗补助服务中心（CMS）、医疗保险成本报告、基于工资的期刊和护理比较。最终的分析样本是14556家独特的养老院。使用有序逻辑回归检验护士技能组合（自变量）与QM星级评分（因变量）之间的关系。研究发现，注册护士的技能组合与质量管理星级评分呈正相关。RN比例每增加1%，进入高质量管理星级类别的几率就增加4% (OR = 1.04, p
期刊介绍：
The Journal of Aging & Social Policy offers a platform for insightful contributions from an international and interdisciplinary group of policy analysts and scholars. It provides an in-depth examination and analysis of critical phenomena that impact aging and the development and implementation of programs for the elderly from a global perspective, with a broad scope that encompasses not only the United States but also regions including Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim.
The journal regularly addresses a wide array of issues such as long-term services and supports, home- and community-based care, nursing-home care, assisted living, long-term care financing, financial security, employment and training, public and private pension coverage, housing, transportation, health care access, financing, and quality, family dynamics, and retirement. These topics are of significant importance to the field of aging and social policy, reflecting the journal's commitment to presenting a comprehensive view of the challenges and solutions related to aging populations around the world.
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