Evidence map›Paper›PMID 33229306›Full record

ArticleJournal of the American Medical Directors Association2021

Families' and Residents' Perspectives of the Quality of Nursing Home Care: Implications for Composite Quality Measures.

Dana B Mukamel, Debra Saliba, David L Weimer, Heather Ladd

Abstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. What Clinicians Need to Know About Measurement.Journal of the American Medical Directors Association · 2021
    Article
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

4 authors.

Dana B MukamelDivision of General Internal Medicine, Department of Medicine, University of California, Irvine, Irvine, CA, USA; iTEQC Research Program, University of California, Irvine, Irvine, CA, USA. Electronic address: dmukamel@uci.edu.
Debra SalibaUCLA Borun Center at David Geffen School of Medicine, Los Angeles, CA, USA; Veterans Administration GRECC, Los Angeles, CA, USA; RAND Health, Santa Monica, CA, USA.
David L WeimerLaFollette School of Public Affairs, University of Wisconsin-Madison, Madison, WI, USA.
Heather LaddDivision of General Internal Medicine, Department of Medicine, University of California, Irvine, Irvine, CA, USA; iTEQC Research Program, University of California, Irvine, Irvine, CA, USA.

Funding

Improving quality report cards through inclusion of consumers preferencesR01AG049705 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI MUKAMEL, DANA B · 2016 to 2018
$1.5M
NIA NIH HHS R01 AG049705
6 · The paper itself

Abstract

objectivesTo assess (1) the relationship of consumers' assessment of overall nursing home quality to their assessment of specific dimensions of quality; and (2) the implications of this relationship for composite quality measures in Nursing Home Compare.

designA survey conducted in 2017 elicited respondents' assessments of the quality of overall care and 13 specific dimensions of care. SETTINGS AND

participantsThe sample consisted of 4449 respondents who either resided in a nursing home or had a family member who resided in a nursing home during the 6 months before the survey.

methodsWe estimated regression models to infer the relationship between consumers' assessments of overall quality and 13 specific dimensions of quality. The regression coefficients, indicating the implicit importance/weight assigned by respondents to each dimension as a component of the consumers' assessment of overall quality, were used to create a prototype composite quality measure.

resultsFor long-stay residents, 8 of the 13 quality dimensions were significantly associated with their overall ratings of quality. Five dimensions achieved significance for short-stay residents. The magnitude of importance weights varied substantially across dimensions of care. CONCLUSIONS AND IMPLICATIONS: Our findings suggest that Nursing Home Compare could be improved by augmenting the technical information in the 5-Star composite measure with consumers' assessments of the additional, nontechnical dimensions of quality.

Indexed as

Nursing HomesQuality Indicators, Health CareHumansQuality of Health CareSurveys and Questionnaires5-Starsconsumersnursing homespreferencesQuality measuresreport cards

Identifiers

PMID33229306
PMCPMC8134516

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Registered trials

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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.