Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1999-1-29
pubmed:abstractText
This study compares quality rankings of about 550 nursing homes in New York State, based on several outcome measures and differing risk adjustment methods. The outcomes were decline in functional status, worsening decubiti, and prevalence of physical restraints. Measures were constructed from PRI data, which are similar to MDS data. We found substantial disagreement on quality ranking across measures due to differences in the scope of risk adjustment. Insufficient risk adjustment of outcome measures may, therefore, lead to inappropriate classification of nursing homes as either poor-quality or high-quality homes. This has implications for state quality oversight, providers' reputations and patients' choice.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0016-9013
pubmed:author
pubmed:issnType
Print
pubmed:volume
38
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
695-703
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1998
pubmed:articleTitle
The influence of risk adjustment methods on conclusions about quality of care in nursing homes based on outcome measures.
pubmed:affiliation
Department of Community & Preventive Medicine, University of Rochester, New York 14642, USA. mukamel@prevmed.rochester.edu
pubmed:publicationType
Journal Article, Comparative Study