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. 1990 Apr;25(1 Pt 1):97–127.

The Quality Assessment Index (QAI) for measuring nursing home quality.

D H Gustafson 1, F C Sainfort 1, R Van Konigsveld 1, D R Zimmerman 1
PMCID: PMC1065611  PMID: 2184147

Abstract

There have been few detailed evaluations of measures of quality of care in nursing homes. This is unfortunate because it has meant that much research on factors affecting nursing home quality has used measures of questionable reliability and validity. Moreover, some measures currently in use have been developed using methodologies not based on solid conceptual grounds, offering little reason to expect them to have much internal or external validity. In this article we suggest characteristics that should be present in measures of nursing home quality, propose a methodology for the development of such measures, propose a specific nursing home quality measure (the Quality Assessment Index or QAI), and report the results of several tests of its validity and reliability.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berwick D. M. Continuous improvement as an ideal in health care. N Engl J Med. 1989 Jan 5;320(1):53–56. doi: 10.1056/NEJM198901053200110. [DOI] [PubMed] [Google Scholar]
  2. Elwell F. The effects of ownership on institutional services. Gerontologist. 1984 Feb;24(1):77–83. doi: 10.1093/geront/24.1.77. [DOI] [PubMed] [Google Scholar]
  3. Fottler M. D., Smith H. L., James W. L. Profits and patient care quality in nursing homes: are they compatible? Gerontologist. 1981 Oct;21(5):532–538. doi: 10.1093/geront/21.5.532. [DOI] [PubMed] [Google Scholar]
  4. Gustafson D. H., Fryback D. G., Rose J. H., Prokop C. T., Detmer D. E., Rossmeissl J. C., Taylor C. M., Alemi F., Carnazzo A. J. An evaluation of multiple trauma severity indices created by different index development strategies. Med Care. 1983 Jul;21(7):674–691. doi: 10.1097/00005650-198307000-00002. [DOI] [PubMed] [Google Scholar]
  5. Kane R. A. Assuring quality of care and quality of life in long term care. QRB Qual Rev Bull. 1981 Oct;7(10):3–10. [PubMed] [Google Scholar]
  6. Kosberg J. I., Tobin S. S. Variability among nursing homes. Gerontologist. 1972 Autumn;12(3):214–219. doi: 10.1093/geront/12.3_part_1.214. [DOI] [PubMed] [Google Scholar]
  7. Leiken A., Sexton T. R., Silkman R. H. A model to assess the quality-cost tradeoff in nursing homes. Health Serv Res. 1986 Jun;21(2 Pt 1):145–160. [PMC free article] [PubMed] [Google Scholar]
  8. Lemke S., Moos R. H. Quality of residential settings for elderly adults. J Gerontol. 1986 Mar;41(2):268–276. doi: 10.1093/geronj/41.2.268. [DOI] [PubMed] [Google Scholar]
  9. Linn M. W., Gurel L., Linn B. S. Patient outcome as a measure of quality of nursing home care. Am J Public Health. 1977 Apr;67(4):337–344. doi: 10.2105/ajph.67.4.337. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. O'Brien J., Saxberg B. O., Smith H. L. For-profit or not-for-profit nursing homes: does it matter? Gerontologist. 1983 Aug;23(4):341–348. doi: 10.1093/geront/23.4.341. [DOI] [PubMed] [Google Scholar]
  11. Riportella-Muller R., Slesinger D. P. The relationship of ownership and size to quality of care in Wisconsin nursing homes. Gerontologist. 1982 Aug;22(4):429–434. doi: 10.1093/geront/22.4.429. [DOI] [PubMed] [Google Scholar]
  12. Shaughnessy P. W., Breed L. D., Landes D. P. Assessing the quality of care provided in rural swing bed hospitals. QRB Qual Rev Bull. 1982 May;8(5):12–20. [PubMed] [Google Scholar]
  13. Shaughnessy P., Schlenker R., Brown K., Yslas I. Case mix and surrogate indicators of quality of care over time in freestanding and hospital-based nursing homes in Colorado. Public Health Rep. 1983 Sep-Oct;98(5):486–492. [PMC free article] [PubMed] [Google Scholar]
  14. Ullmann S. G. The impact of quality on cost in the provision of long-term care. Inquiry. 1985 Fall;22(3):293–302. [PubMed] [Google Scholar]
  15. Willemain T. R. Survey-based indices for nursing home quality incentive reimbursement. Health Care Financ Rev. 1983 Mar;4(3):83–90. [PMC free article] [PubMed] [Google Scholar]

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