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The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents With Preserved Cognition.

Authors
 Sun Jung Kim  ;  Eun-cheol Park  ;  Sulgi Kim  ;  Shunichi Nakagawa  ;  John Lung  ;  Jong Bum Choi  ;  Woo Sang Ryu  ;  Too Jae Min  ;  Hyun Phil Shin  ;  Kyudam Kim  ;  Ji Won Yoo 
Citation
 JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, Vol.15(3) : 220-225, 2014 
Journal Title
 JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION 
ISSN
 1525-8610 
Issue Date
2014
MeSH
Activities of Daily Living ; Aged ; Centers for Medicare and Medicaid Services (U.S.) ; Cognition ; Humans ; Long-Term Care ; Michigan ; Middle Aged ; Nursing Homes* ; Qualitative Research ; Quality Indicators, Health Care ; Quality of Health Care* ; Quality of Life* ; Regression Analysis ; Surveys and Questionnaires ; United States ; Urban Health Services
Keywords
Activity of daily living ; cognition ; nursing home ; quality of health care ; quality of life
Abstract
OBJECTIVES: To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. DESIGN/MEASUREMENTS: Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). SETTING/PARTICIPANTS: Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. RESULTS: The average quality- of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = -0.728; P = .04) and depression (parameter estimate = -3.015; P = .01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P = .12) and not pain (parameter estimate = -0.705; P = .47). CONCLUSION: The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were.
Full Text
http://www.sciencedirect.com/science/article/pii/S1525861013005951
DOI
10.1016/j.jamda.2013.10.012
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Choi, Jong Bum(최종범)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98224
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