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首页> 美国卫生研究院文献>Inquiry: A Journal of Medical Care Organization Provision and Financing >Culture Change in Nursing Homes: What Is the Role of Nursing HomeResources?
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Culture Change in Nursing Homes: What Is the Role of Nursing HomeResources?

机译：疗养院的文化变化：疗养院的作用是什么资源？

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摘要

Quality of care has been a long-standing issue in US nursing homes. The culture change movement attempts to transition nursing homes from health care institutions to person-centered homes. While the adoption of culture change has been spreading across nursing homes, barriers to adoption persist. Nursing homes that disproportionately serve minority residents may have additional challenges implementing culture change compared with other facilities due to limited financial and staffing resources. The objective of this study was to examine how nursing home characteristics are associated with culture change adoption in Central Florida nursing homes. This cross-sectional study included 81 directors of nursing (DONs) who completed the Artifacts of Culture Change survey. In addition, nursing home organizational data were obtained from the Certification and Survey Provider Enhanced Reports (CASPER). A logistic regression was conducted to examine the relationship between high culture change adoption and nursing home characteristics. The overall adoption of culture change scores in Central Florida nursing homes was low. Nevertheless, there was variability across nursing homes in the adoption of culture change. High culture change adoption was associated with nursing homes having lower proportions of Medicaidresidents.
机译：护理质量一直是美国养老院的长期问题。文化变革运动试图将疗养院从医疗机构转变为以人为本的疗养院。尽管文化变革的采用已在疗养院中广泛传播，但采用的障碍仍然存在。与少数群体居民相比，为少数族裔居民提供不成比例服务的疗养院与其他机构相比，由于财务和人力资源有限，可能面临更多挑战。这项研究的目的是研究佛罗里达州中部养老院的养老院特征与文化变革的采用之间的关系。这项横断面研究包括81位护理总监（DONs），他们完成了文化变化工件调查。此外，疗养院的组织数据是从认证和调查提供者增强报告（CASPER）中获得的。进行逻辑回归分析以检验高文化变革采用与疗养院特征之间的关系。佛罗里达州中部养老院对文化变化评分的总体采用率较低。然而，在疗养院中，采用文化变革存在差异。高文化变革的采用与医疗补助比例较低的疗养院有关居民。

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