Do nursing homes with a higher proportion of residents with dementia have greater or fewer complaints?

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F23%3A00079709" target="_blank" >RIV/00159816:_____/23:00079709 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.tandfonline.com/doi/full/10.1080/13607863.2023.2277265" target="_blank" >https://www.tandfonline.com/doi/full/10.1080/13607863.2023.2277265</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1080/13607863.2023.2277265" target="_blank" >10.1080/13607863.2023.2277265</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Do nursing homes with a higher proportion of residents with dementia have greater or fewer complaints?

Popis výsledku v původním jazyce

Objectives: Nursing home (NH) residents&apos; capacity to communicate deteriorates with dementia. Consequently, NHs with high proportions of people living with dementia (PLWD) may receive fewer resident complaints, and/or investigating complaints may be challenging. We assessed NHs&apos; proportion of PLWD in relation to total and substantiated complaints.Methods: Data were from the ASPEN Complaints/Incident Tracking System and the Certification and Survey Provider Enhanced Reports (2017). NHs (N = 15,499) were categorized based on high (top-10%), medium (middle-80%), and low (bottom-10%) dementia prevalence. Negative binomial Poisson regression assessed complaint patterns in relation to NHs&apos; high/low (vs. medium) proportions of PLWD and other facility/resident characteristics.Results: Compared to NHs with medium-dementia prevalence, NHs with low proportions of PLWD had higher total (average marginal effect [AME] = 0.16, p &lt; 0.001) and substantiated (AME = 0.30, p &lt; 0.001) complaints, whereas NHs with high proportions of PLWD had fewer total (AME= -0.07; p &lt; 0.05) and substantiated (AME= -0.11, p &lt; 0.05) complaints. Also, NHs&apos; profit status, chain-affiliation, size, staffing, and resident ethnicity were associated with total and substantiated complaints.Conclusion: The association between high proportions of PLWD and lower NH complaints suggests either that these NHs have higher overall quality or that complaints are underreported. Regardless, surveyors and families may need more involvement in monitoring higher dementia prevalence facilities.

Název v anglickém jazyce

Do nursing homes with a higher proportion of residents with dementia have greater or fewer complaints?

Popis výsledku anglicky

Objectives: Nursing home (NH) residents&apos; capacity to communicate deteriorates with dementia. Consequently, NHs with high proportions of people living with dementia (PLWD) may receive fewer resident complaints, and/or investigating complaints may be challenging. We assessed NHs&apos; proportion of PLWD in relation to total and substantiated complaints.Methods: Data were from the ASPEN Complaints/Incident Tracking System and the Certification and Survey Provider Enhanced Reports (2017). NHs (N = 15,499) were categorized based on high (top-10%), medium (middle-80%), and low (bottom-10%) dementia prevalence. Negative binomial Poisson regression assessed complaint patterns in relation to NHs&apos; high/low (vs. medium) proportions of PLWD and other facility/resident characteristics.Results: Compared to NHs with medium-dementia prevalence, NHs with low proportions of PLWD had higher total (average marginal effect [AME] = 0.16, p &lt; 0.001) and substantiated (AME = 0.30, p &lt; 0.001) complaints, whereas NHs with high proportions of PLWD had fewer total (AME= -0.07; p &lt; 0.05) and substantiated (AME= -0.11, p &lt; 0.05) complaints. Also, NHs&apos; profit status, chain-affiliation, size, staffing, and resident ethnicity were associated with total and substantiated complaints.Conclusion: The association between high proportions of PLWD and lower NH complaints suggests either that these NHs have higher overall quality or that complaints are underreported. Regardless, surveyors and families may need more involvement in monitoring higher dementia prevalence facilities.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30227 - Geriatrics and gerontology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Aging &amp; Mental Health

ISSN

1360-7863

e-ISSN

1364-6915

Svazek periodika

28

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

9

Strana od-do

448-456

Kód UT WoS článku

001097716700001

EID výsledku v databázi Scopus

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