ERIC Number: EJ934520
Record Type: Journal
Publication Date: 2011-Aug
Abstractor: As Provided
Reference Count: N/A
Complaints against Nursing Homes: Comparing Two Sources of Complaint Information and Predictors of Complaints
Troyer, Jennifer L.; Sause, Wendy L.
Gerontologist, v51 n4 p516-529 Aug 2011
Purpose of the Study: Two consumer-derived measures of nursing home quality that have been underutilized by researchers are consumer complaints to the state certification agency between inspections and complaints to the Long-Term Care Ombudsman Program. This article describes these complaints, considers facility-level predictors of complaints, and examines how complaints to the 2 entities are related. Design and Methods: This article uses North Carolina complaint data from the state certification agency and Ombudsman from 2002 to 2006. First, we outline the similarities and differences in the 2 complaint sources by considering descriptive statistics and examining the structure of the 2 agencies. Second, we examine the relationship between complaints and facility characteristics that have been predictive of traditional quality measures. Finally, we examine the relationships between the 2 types of complaints. Results: We find that complaints to the 2 agencies exhibit distinct differences in substantiation rates, although the top complaint category for both agencies is quality of care. Having a higher proportion of Medicaid residents is generally not predictive of complaint volume, whereas having a higher proportion of Medicare residents is associated with higher complaint levels. Implications: We find a lack of association between complaints to the 2 agencies when examining specific matched categories of complaints in many cases, suggesting that the 2 entities are not duplicating efforts in these categories.
Descriptors: Nursing Homes, Certification, Ombudsmen, Comparative Analysis, Health Services, Federal Programs, Low Income Groups, Older Adults, Health Insurance, Medical Care Evaluation
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: North Carolina