Cargando…

Failing to Complain: Do Nursing Homes with more Residents with Dementia have Fewer Complaints?

The majority of nursing home (NH) residents have Alzheimer’s Disease or Related Dementias (ADRD). However, the association of ADRD prevalence and NH quality is unclear. The objective of the current study is to understand the association of NH characteristics, including the proportion of ADRD residen...

Descripción completa

Detalles Bibliográficos
Autores principales: Bhattacharyya, Kallol Kumar, Peterson, Lindsay, Bowblis, John, Hyer, Kathryn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8681679/
http://dx.doi.org/10.1093/geroni/igab046.3079
_version_ 1784617034944872448
author Bhattacharyya, Kallol Kumar
Peterson, Lindsay
Bowblis, John
Hyer, Kathryn
author_facet Bhattacharyya, Kallol Kumar
Peterson, Lindsay
Bowblis, John
Hyer, Kathryn
author_sort Bhattacharyya, Kallol Kumar
collection PubMed
description The majority of nursing home (NH) residents have Alzheimer’s Disease or Related Dementias (ADRD). However, the association of ADRD prevalence and NH quality is unclear. The objective of the current study is to understand the association of NH characteristics, including the proportion of ADRD residents, with the prevalence of NH complaints as an indicator of quality of care and quality of life. We merged data from the ASPEN Complaints/Incident Tracking System with national NH data from the Certification and Survey Provider Enhanced Reports, the Minimum Data Set, the Area Health Resource File, and zip-code level rural-urban codes in 2017. Three groups of NHs were created, including those whose proportion of residents with ADRD was in the top decile (i.e., high-dementia NHs (N=1,473)) and those whose proportion of ADRD residents was in the lowest decile (i.e., low-dementia NHs (N=1,524)). Bivariate results revealed high-ADRD NHs had higher percentages of Medicaid-paying residents, were less likely to be for-profit and chain-affiliated, had lower staffing hours and lower percentages of Black, Hispanic, and Asian residents. Using NHs in the middle deciles as reference, negative binomial regression models showed that having a low proportion of ADRD residents was significantly associated with higher numbers of total complaints (p<.001) and substantiated complaints (p<.001), whereas having a high proportion of ADRD residents was significantly associated with lower numbers of substantiated complaints (p=.001). The findings suggest the proportion of residents with ADRD in NHs is associated with quality, as measured by complaints. Policy implications of these findings will be discussed.
format Online
Article
Text
id pubmed-8681679
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-86816792021-12-17 Failing to Complain: Do Nursing Homes with more Residents with Dementia have Fewer Complaints? Bhattacharyya, Kallol Kumar Peterson, Lindsay Bowblis, John Hyer, Kathryn Innov Aging Abstracts The majority of nursing home (NH) residents have Alzheimer’s Disease or Related Dementias (ADRD). However, the association of ADRD prevalence and NH quality is unclear. The objective of the current study is to understand the association of NH characteristics, including the proportion of ADRD residents, with the prevalence of NH complaints as an indicator of quality of care and quality of life. We merged data from the ASPEN Complaints/Incident Tracking System with national NH data from the Certification and Survey Provider Enhanced Reports, the Minimum Data Set, the Area Health Resource File, and zip-code level rural-urban codes in 2017. Three groups of NHs were created, including those whose proportion of residents with ADRD was in the top decile (i.e., high-dementia NHs (N=1,473)) and those whose proportion of ADRD residents was in the lowest decile (i.e., low-dementia NHs (N=1,524)). Bivariate results revealed high-ADRD NHs had higher percentages of Medicaid-paying residents, were less likely to be for-profit and chain-affiliated, had lower staffing hours and lower percentages of Black, Hispanic, and Asian residents. Using NHs in the middle deciles as reference, negative binomial regression models showed that having a low proportion of ADRD residents was significantly associated with higher numbers of total complaints (p<.001) and substantiated complaints (p<.001), whereas having a high proportion of ADRD residents was significantly associated with lower numbers of substantiated complaints (p=.001). The findings suggest the proportion of residents with ADRD in NHs is associated with quality, as measured by complaints. Policy implications of these findings will be discussed. Oxford University Press 2021-12-17 /pmc/articles/PMC8681679/ http://dx.doi.org/10.1093/geroni/igab046.3079 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Bhattacharyya, Kallol Kumar
Peterson, Lindsay
Bowblis, John
Hyer, Kathryn
Failing to Complain: Do Nursing Homes with more Residents with Dementia have Fewer Complaints?
title Failing to Complain: Do Nursing Homes with more Residents with Dementia have Fewer Complaints?
title_full Failing to Complain: Do Nursing Homes with more Residents with Dementia have Fewer Complaints?
title_fullStr Failing to Complain: Do Nursing Homes with more Residents with Dementia have Fewer Complaints?
title_full_unstemmed Failing to Complain: Do Nursing Homes with more Residents with Dementia have Fewer Complaints?
title_short Failing to Complain: Do Nursing Homes with more Residents with Dementia have Fewer Complaints?
title_sort failing to complain: do nursing homes with more residents with dementia have fewer complaints?
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8681679/
http://dx.doi.org/10.1093/geroni/igab046.3079
work_keys_str_mv AT bhattacharyyakallolkumar failingtocomplaindonursinghomeswithmoreresidentswithdementiahavefewercomplaints
AT petersonlindsay failingtocomplaindonursinghomeswithmoreresidentswithdementiahavefewercomplaints
AT bowblisjohn failingtocomplaindonursinghomeswithmoreresidentswithdementiahavefewercomplaints
AT hyerkathryn failingtocomplaindonursinghomeswithmoreresidentswithdementiahavefewercomplaints