Using resident reports of quality of life to distinguish among nursing homes

Robert L Kane, Boris Bershadsky, Rosalie A Kane, Howard H. Degenholtz, Jiexin Liu, Katherine Giles, Kristen C Kling

Research output: Contribution to journalArticle

54 Scopus citations

Abstract

Purpose: We used measures created to assess the quality of life (QOL) of nursing home residents to distinguish among nursing facilities. Design and Methods: We statistically adjusted scores for 10 QOL domains derived from standardized interviews with nursing home residents for age, gender, activities of daily living functioning, cognitive functioning, and length of stay, and then we aggregated them to the facility level. We compared the patterns across a sample of 40 facilities. We correlated facility characteristics with QOL scores. Results: The pattern of QOL scores for each of the 10 domains was generally consistent within a given facility. Although resident characteristics played a major role in explaining variance, there were significant effects of facilities as well. Some modest relationships were found between facility characteristics such as ownership, percentage of private rooms, and rural-urban location and facility QOL scores. No effect of facility size was detected. Implications: This article shows that it is possible to differentiate among facilities on the basis of resident self-reported QOL. On the basis of our analysis, we find that a sample of 28 residents per facility is sufficient to generate a reliable QOL score for each of the domains studied.

Original languageEnglish (US)
Pages (from-to)624-632
Number of pages9
JournalGerontologist
Volume44
Issue number5
DOIs
StatePublished - Oct 2004

Keywords

  • Nursing homes
  • Quality of life
  • Resident reports

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    Kane, R. L., Bershadsky, B., Kane, R. A., Degenholtz, H. H., Liu, J., Giles, K., & Kling, K. C. (2004). Using resident reports of quality of life to distinguish among nursing homes. Gerontologist, 44(5), 624-632. https://doi.org/10.1093/geront/44.5.624