The association between quality of care and quality of life in long-stay nursing home residents with preserved cognition

Journal of the American Medical Directors Association
Sun Jung KimJi Won Yoo

Abstract

To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. The average quality- of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = -0.728; P = .04) and depression (parameter estimate = -3.015; P = .01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P = .12) and not pain (parameter estimate = -0.705; P = .47). The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not as...Continue Reading

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Citations

Sep 10, 2014·Dental Clinics of North America·Chester W Douglass, Monik C Jiménez
Dec 27, 2015·Journal of the American Medical Directors Association·Samanta LalicJ Simon Bell
May 23, 2014·The Gerontologist·Anthony WilliamsRobert Applebaum
Jan 18, 2018·Australian Health Review : a Publication of the Australian Hospital Association·Yun-Hee JeonJudith Fethney
Sep 11, 2014·Current Opinion in Clinical Nutrition and Metabolic Care·Tommy Cederholm, John E Morley
Mar 27, 2018·American Journal of Alzheimer's Disease and Other Dementias·Barbara ResnickNina M Flanagan
Jul 28, 2016·Soins. Gérontologie·Stéphane SanchezPhilippe Denormandie
Nov 25, 2020·Journal of the American Medical Directors Association·Dana B MukamelHeather Ladd
Nov 5, 2019·Journal of the American Medical Directors Association·Pouria MashouriAndrea Iaboni

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