Evidence map›Paper›PMID 20631035›Full record

ArticleThe Gerontologist2010

What is nursing home quality and how is it measured?

Nicholas G Castle, Jamie C Ferguson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Gerontologist, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  16. PRODUCING HEALTH: MEASURING VALUE ADDED OF NURSING HOMES.Econometrica : journal of the Econometric Society · 2025
    Article
  17. "I feel like a caged pig in here": Language, Race, and Ethnic Identity in a Case Study Hmong Nursing Home Resident Quality of Life.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  18. Article
  19. Impact of skilled nursing facility quality on Medicare beneficiaries with dementia: Evidence from vacancies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  20. Article

43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Nicholas G CastleDepartment of Health Policy & Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA. castlen@pitt.edu
Jamie C Ferguson

Funding

Staffing Characteristics of Nursing Homes and QualityR01HS016808 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CASTLE, NICHOLAS G · 2007 to 2008
$370k
AHRQ HHS R01 HS016808-01
6 · The paper itself

Abstract

purposeIn this commentary, we examine nursing home quality and indicators that have been used to measure nursing home quality. DESIGN AND

methodsA brief review of the history of nursing home quality is presented that provides some context and insight into currently used quality indicators. Donabedian's structure, process, and outcome (SPO) model is used to frame the discussion. Current quality indicators and quality initiatives are discussed, including those included in the Facility Quality Indicator Profile Report, Nursing Home Compare, deficiency citations included as part of Medicare/Medicaid certification, and the Advancing Excellence Campaign.

resultsCurrent quality indicators are presented as a mix of structural, process, and outcome measures, each of which has noted advantages and disadvantages. We speculate on steps that need to be taken in the future to address and potentially improve the quality of care provided by nursing homes, including report cards, pay for performance, market-based incentives, and policy developments in the certification process. Areas for future research are identified throughout the review. IMPLICATIONS: We conclude that improvements in nursing home quality have likely occurred, but improvements are still needed.

Indexed as

Long-Term CareNursing HomesQuality Indicators, Health CareUnited States

Identifiers

PMID20631035
PMCPMC2915498

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.