Mental health care deficiency citations in nursing homes and caregiver staffing

被引:14
作者
Castle, Nicholas G.
Myers, Sarah
机构
[1] Univ Pittsburgh, Grad Sch Publ Hlth, Dept Hlth Policy & Adm, Pittsburgh, PA 15261 USA
[2] RAND, Arlington, VA 22302 USA
关键词
quality; long term-care; staffing; mental-health outcomes;
D O I
10.1007/s10488-006-0038-2
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
In this paper, we examine the association between caregiver staffing levels and mental health outcomes in approximately 17,000 U.S. nursing homes. As outcomes, we focus on deficiency citations available in the Center for Medicare and Medicaid Services' Online Survey, Certification, And Recording data. We examine nurse aide, licensed practical nurse, registered nurse, and mental health provider staffing. Our results show that the level of nursing staff matter with respect to mental health outcomes. Whereas greater RN staffing was associated with a lower likelihood of being cited for deficiencies in mental health care, greater LPN and NA staffing were associated with a higher likelihood. We found no association between mental health provider staffing levels and mental health outcomes.
引用
收藏
页码:215 / 225
页数:11
相关论文
共 39 条
[1]  
[Anonymous], SENIORS HOUSING CARE
[2]   Models of mental health services in nursing homes: A review of the literature [J].
Bartels, SJ ;
Moak, GS ;
Dums, AR .
PSYCHIATRIC SERVICES, 2002, 53 (11) :1390-1396
[3]   Quality of care in the nursing home: Effects of staff assignment and work shift [J].
Burgio, LD ;
Fisher, SE ;
Fairchild, JK ;
Scilley, K ;
Hardin, JM .
GERONTOLOGIST, 2004, 44 (03) :368-377
[4]  
Castle N G, 2001, J Health Soc Policy, V13, P73
[5]  
Castle NG, 2000, J GERONTOL B-PSYCHOL, V55, pS33
[6]   Staff turnover and quality of care in nursing homes [J].
Castle, NG ;
Engberg, J .
MEDICAL CARE, 2005, 43 (06) :616-626
[7]   Report cards and nursing homes [J].
Castle, NG ;
Lowe, TJ .
GERONTOLOGIST, 2005, 45 (01) :48-67
[8]  
*CTR MED MED SERV, 2002, APPR MIN NURS STAFF
[9]   QUALITY OF INSTITUTIONAL CARE AND THE ELDERLY - POLICY ISSUES AND OPTIONS [J].
DAY, P ;
KLEIN, R .
BRITISH MEDICAL JOURNAL, 1987, 294 (6568) :384-387
[10]  
Demaris A., 1992, LOGIT MODELING PRACT