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Nursing Home Consumer Complaints and Their Potential Role in Assessing Quality of Care

Bibliographic Data

ID9103941
AuthorsDavid G Stevenson (0000-0002-3370-3277, Harvard University, corresponding author)
Year2005
Volume43
Issue2
Pages102-111
Publication date2005-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200502000-00003
PMID15655423
OpenAlexW2059013844
LanguageEN
Citations received2
References cited11

BACKGROUND: State survey agencies collect and investigate consumer complaints for care in nursing homes and other health care settings. Complaint investigations play a key role in quality assurance, because they can respond to concerns of consumers and families. OBJECTIVE: This study uses 5 years of nursing home complaints data from Massachusetts (1998-2002) to investigate whether complaints might be used to assess nursing home quality of care. RESEARCH DESIGN: The investigator matches facility-level complaints data with On-Line Survey Certification and Reporting (OSCAR) data and Minimum Data Set Quality Indicator (MDS QI) data to evaluate the association between consumer complaints, facility and resident characteristics, and other nursing home quality measures. RESULTS: Consumer complaints varied across facility characteristics in ways consistent with the nursing home quality literature. Complaints were consistently and significantly associated with survey deficiencies, the presence of a serious survey deficiency, and nurse aide staffing. Complaints were not significantly associated with nurse staffing, and associations with 6 MDS QIs were mixed. The number of complaints was significantly predictive of survey deficiencies identified at the subsequent inspection. CONCLUSION: Nursing home consumer complaints provide a supplemental tool with which to differentiate nursing homes on quality. Despite limitations, complaints data have potential strengths when used in combination with other quality measures. The potential of using consumer complaints to assess nursing home quality of care should be evaluated in states beyond Massachusetts. Evaluating consumer complaints also might be a productive area of inquiry for other health care settings such as hospitals and home health agencies

Certification · Complaint · Family medicine · Health care · Long-term care · Minimum Data Set · Nursing homes · Quality (philosophy) · Staffing · Geriatric Care and Nursing Homes · Healthcare Policy and Management · Medicine · Nursing · Patient Satisfaction in Healthcare

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  • Consumer Complaints and Nursing Home Quality

    David C Grabowski•Medical Care•2005

  • A Heteroskedasticity-Consistent Covariance Matrix Estimator and a Direct Test for Heteroskedasticity

    Halbert White•Econometrica•1980

  • Stability of Nursing Home Quality Indicators Over Time

    Sarita L Karon, François Sainfort et al.•Medical Care•1999

Unique citing works2
Citations per year0,1
Citation span2005 - 2013 (9)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2
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