Longitudinal Changes in Nursing Home Resident-Reported Quality of Life: The Role of Facility Characteristics.

Journal Article (Journal Article)

Improving quality of nursing homes (NHs) is a major social priority, yet few studies examine the role of facility characteristics for residents' quality of life (QOL). This study goes beyond cross-sectional analyses by examining the predictors of NH residents' QOL on the facility level over time. We used three data sources, namely resident interviews using a multidimensional measure of QOL collected in all Medicaid-certified NHs in Minnesota (N = 369), resident clinical data from the minimum data set, and facility-level characteristics. We examined change in six QOL domains from 2007 to 2010, using random coefficient models. Eighty-one facilities improved across most domains and 85 facilities declined. Size, staffing levels (especially activities staff), and resident case mix are some of the most salient predictors of QOL over time, but predictors differ by facility performance status. Understanding the predictors of facility QOL over time can help identify facility characteristics most appropriate for targeting with policy and programmatic interventions.

Full Text

Duke Authors

Cited Authors

  • Shippee, TP; Hong, H; Henning-Smith, C; Kane, RL

Published Date

  • August 2015

Published In

Volume / Issue

  • 37 / 6

Start / End Page

  • 555 - 580

PubMed ID

  • 25651583

Electronic International Standard Serial Number (EISSN)

  • 1552-7573

Digital Object Identifier (DOI)

  • 10.1177/0164027514545975

Language

  • eng

Conference Location

  • United States