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. 2021 Jan-Dec:58:469580211059998.
doi: 10.1177/00469580211059998.

Determinants of Successful Nursing Home Accreditation

Shu-Chuan Yeh  1 , Shwu-Feng Tsay  2 , Wen Chun Wang  3 , Ying-Ying Lo  4 , Hon-Yi Shi  5
Affiliations

Determinants of Successful Nursing Home Accreditation

Shu-Chuan Yeh et al. Inquiry. 2021 Jan-Dec.

Abstract

Objectives: This study examined the factors associated with better accreditation outcomes among nursing homes.

Method: A total of 538 nursing homes in Taiwan were included in this study. Measures included accreditation scores, external factors (household income, Herfindahl-Hirschman Index, old-age dependency ratio, population density, and number of older adult households), organizational factors (hospital-based status, chain-affiliated status, occupancy rate, the number of registered nurses or nurse aides per bed, and bed size), and internal factors (accountability, deficiencies, person-centered care, nursing skills, quality control, and integrated care).

Results: Bed size, hospital-based status, accountability, deficiencies, person-centered care, nursing skills, quality control, and integrated care were found to predict accreditation.

Conclusion: Among all variables in this study, the quality indicators contributed to the most variation, followed by organizational factors. External environmental factors played a minor role in predicting accreditation. A focus on quality of care would benefit not only the residents of a nursing home but also facilitate its accreditation.

Keywords: accreditation; elderly people; long-term care; nursing home; quality indicators; structure-process-outcome.

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Conflict of interest statement

Declaration of Conflicting Interests: The authors declare no conflict of interest.

References

    1. Busse R, Blümel M. Germany: health system review. Hlth Systems Transit. 2014;16(2):1-331. http://www.euro.who.int/__data/assets/pdf_file/0008/255932/HiT-Germany.p.... Accessed October 5, 2021. - PubMed
    1. Tikkanen R, Osborn R, Mossialos E, et al. International Health Care System. Germany: Common Wealth Fund; 2020. https://www.commonwealthfund.org/international-health-policy-center/coun.... Accessed September 29, 2021.
    1. Gov.UK . Care Quality Commission: CQC; 2021. https://www.gov.uk/government/organisations/care-quality-commission. Accessed September 29, 2021.
    1. Care Quality Commission . How We Do Our Job: Care Quality Commission; 2021. https://www.cqc.org.uk/what-we-do/how-we-do-our-job/taking-action. Accessed September 29, 2021.
    1. Bertezene S. Control of hospitals and nursing homes in France: The 2016 reform may indirectly improve a dysfunctional system. Health Pol. 2018;122(4):329-333. https://www.healthpol.2018.01.005. - PubMed

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