TY - JOUR
T1 - Pressure ulcer development in the VA
T2 - Characteristics of nursing homes providing best care
AU - Berlowitz, Dan R.
AU - Anderson, Jennifer J.
AU - Brandeis, Gary H.
AU - Lehner, Laura A.
AU - Brand, Harriet K.
AU - Ash, Arlene S.
AU - Moskowitz, Mark A.
PY - 1999
Y1 - 1999
N2 - This study identifies structural characteristics of VA nursing homes that are associated with the best patient outcomes. We evaluated risk-adjusted rates of pressure ulcer development in VA nursing homes and related these rates to facility size, staffing patterns, teaching nursing home status, and rural versus urban locale. Higher rates of pressure ulcer development were seen among urban teaching nursing homes and among nursing homes associated with both larger and smaller VA hospitals. Staffing patterns had a complex association with pressure ulcer development, and smaller nursing home staffs were not clearly associated with higher rates. For multivariate modeling, only hospital size and staffing remained significant independent predictors of pressure ulcer development. These results emphasize that while structural characteristics of VA nursing homes can provide insights about care, improving the quality of care in this setting will require a much greater understanding of how nursing homes are organized to meet patient needs.
AB - This study identifies structural characteristics of VA nursing homes that are associated with the best patient outcomes. We evaluated risk-adjusted rates of pressure ulcer development in VA nursing homes and related these rates to facility size, staffing patterns, teaching nursing home status, and rural versus urban locale. Higher rates of pressure ulcer development were seen among urban teaching nursing homes and among nursing homes associated with both larger and smaller VA hospitals. Staffing patterns had a complex association with pressure ulcer development, and smaller nursing home staffs were not clearly associated with higher rates. For multivariate modeling, only hospital size and staffing remained significant independent predictors of pressure ulcer development. These results emphasize that while structural characteristics of VA nursing homes can provide insights about care, improving the quality of care in this setting will require a much greater understanding of how nursing homes are organized to meet patient needs.
UR - https://www.scopus.com/pages/publications/0032603111
U2 - 10.1177/106286069901400106
DO - 10.1177/106286069901400106
M3 - Article
C2 - 10446662
AN - SCOPUS:0032603111
SN - 1062-8606
VL - 14
SP - 39
EP - 44
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 1
ER -