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- Publisher
- SAGE
- Copyright
- Copyright © by SAGE Publications
- ISSN
- 0733-4648
- eISSN
- 1552-4523
- DOI
- 10.1177/073346489101000102
- pmid
- 10113554
- Publisher site
- See Article on Publisher Site
Abstract
Previous efforts to evaluate nursing home quality have been hampered by the lack of a conceptualmodel that specifies the major components and specifically associates measurable indicatorswith quality. An extensive literature review reveals many fragmented pieces of information, butno framework in which to fit the pieces together. The model presented here identifies four majordimensions of nursing home quality: (a) staff intervention, (b) physical environment, (c)nutrition/food service, and (d) community relations. These dimensions go beyond traditional"quality of care" by including quality-of-life considerations as well. The dimensions are eachfurther divided into two subdimensions. I propose that measurable indicators for each of theseeight subdimensions can be combined to make an effective and comprehensive quality measure.
Journal
Journal of Applied Gerontology – SAGE
Published: Mar 1, 1991