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The Importance of Zero-Deficiency Complaints in Nursing Homes: A Mere Consequence or Serious Concern?
- Source :
- Journal of Applied Gerontology; Jul2024, Vol. 43 Issue 7, p945-955, 11p
- Publication Year :
- 2024
-
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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 07334648
- Volume :
- 43
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Journal of Applied Gerontology
- Publication Type :
- Academic Journal
- Accession number :
- 177799142
- Full Text :
- https://doi.org/10.1177/07334648241229548