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Nursing Home Quality: Prevalence of Serious Problems, While Declining, Reinforces Importance of Enhanced Oversight

机译：养老院质量：严重问题的普遍存在，虽然在下降，但强化了加强监督的重要性

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Since July 1988, GAO has reported numerous times on nursing home quality-of-care issues and identified significant weaknesses in federal and state oversight. GAO was asked to assess the extent of the progress made in improving the quality of care provided by nursing homes to vulnerable elderly and disabled individuals, including (1) trends in measured nursing home quality, (2) state responses to previously identified weaknesses in their survey, complaint, and enforcement activities, and (3) the status of oversight and quality improvement efforts by the Centers for Medicare & Medicaid Services (CMS).

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年度 2003
页码 1-108
总页数 108
原文格式 PDF
正文语种 eng
中图分类工业技术;
关键词
Nursing homes; Quality of care; Prevalence; Elderly persons; Disabled persons; Trends; Quality of health care; Quality control; Improvement;

机译：疗养院;护理质量;患病率;老年人;残疾人;趋势;保健质量;质量控制;改进;

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1. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
2. FDA May Reinstate Oversight Policy As Warning Letter Quality Declines [J] . Virgil Dickson Washington Drug Letter . 2010,第27期

机译：由于警告信质量下降，FDA可能恢复监督政策
3. Family oversight and the quality of nursing home care for residents with advanced dementia. [J] . Grabowski DC, Mitchell SL Medical care . 2009,第5期

机译：老年痴呆症患者的家庭监督和养老院护理质量。
4. HOW HOSPITAL GOVERNING BOARDS ENHANCE QUALITY OVERSIGHT: AN APPLICATION OF THE AGENCY THEORY PERSPECTIVE [C] . H.Joanna Jiang, Carlin Lockee, Irene Fraser Proceedings of academy of innovation and entrepreneurship 2009 . 2009

机译：医院管理委员会如何提高质量监督：代理理论的应用前景
5. Prevalence of Workplace Violence (WPV) and Its Association with Quality of Life Among Nursing Staff in Chinese Psychiatric Institutions [D] . Lu, Li . 2019

机译：工作场所暴力（WPV）的流行及其与中国精神病院护理人员的生活质量的关系
6. Family Oversight and the Quality of Nursing Home Care for Residents with Advanced Dementia [O] . -1

机译：家庭监督和患有先进痴呆症的居民的护理家庭护理品质
7. Family Oversight and the Quality of Nursing Home Care for Residents With Advanced Dementia [O] . David C. Grabowski, Susan L. Mitchell 2009

机译：家庭监督和患有先进痴呆症的居民的护理家庭护理品质

Nursing Home Quality: Prevalence of Serious Problems, While Declining, Reinforces Importance of Enhanced Oversight

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