1. The Importance of Zero-Deficiency Complaints in Nursing Homes: A Mere Consequence or Serious Concern?
- Author
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Bhattacharyya KK, Peterson L, Molinari V, Fauth EB, and Andel R
- Subjects
- Humans, Patient Satisfaction, Aged, Homes for the Aged, Male, Female, Nursing Homes, Dementia, Quality of Health Care
- Abstract
Complaints represent an important metric for assessing the quality of nursing home (NH) care. Using the Automated Survey Processing Environment (ASPEN) Complaints/Incidents Tracking System dataset (2017), we examined the relationships between zero-deficiency complaints (ZDCs) and zero-deficiency substantiated complaints (ZDSCs) and the proportion of residents with dementia. NHs ( N = 15,339) were separated into three groups-proportion of residents with dementia in the top, two middle, and the bottom quartiles. Negative binomial regressions assessed zero-deficiency complaint patterns in relation to NHs' proportion of residents with dementia, controlling for facility characteristics, staffing, and racial pattern. We reported average marginal effects ( AMEs ) and 95% confidence intervals ( CIs ). NHs in the top quartile yielded higher numbers of both ZDC ( AME = .189, 95% CI : .102-.276, p < .001) and ZDSC ( AME = .236, 95% CI : .094-.378, p = .001), than NHs in the bottom quartile. Results suggest a need for more uniform investigation processes and staff training to promote a more valid complaint process for residents with dementia., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2024
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