PMID: 12479492Dec 14, 2002Paper

Relationship between regulatory status, quality of care, and three-year mortality in Canadian residential care facilities: a longitudinal study

Health Services Research
Gina BravoLise Messier


To compare the mortality rate in regulated and unregulated facilities, controlling for confounding variables, and investigate the effect of care quality on residents' length of survival. At baseline, subjects were assessed in their living environment with respect to their functional autonomy, cognitive abilities, and quality of care. Vital status, disease-related information, and hospitalization data were retrieved three years later from the subjects' medical files. A three-year follow-up study of 299 residents from 88 long-term care facilities located in the province of Quebec, Canada. The effect of regulatory status and quality of care on length of survival was investigated by means of multivariable Cox proportional hazards regression models, from both traditional and competing risks perspectives. Controlling for age, comorbidity, and baseline functional abilities, a resident's length of survival is not significantly influenced by the regulatory status of the facility in which he or she lived at baseline. However, residents with poor quality ratings at baseline had shorter survival times than those provided with good care. Median survival was 28 months among residents classified as receiving inadequate care compared to 41 mon...Continue Reading


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Related Concepts

Self Care (Rehabilitation)
Prevalence Studies
Facility Regulation and Control
Action Research
Long-term Care
Longitudinal Survey
Decline, Mortality
Nursing Homes
Cox Proportional Hazards Models
Survival Analysis

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