The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents With Preserved Cognition

Sun Jung Kim; Eun cheol Park; Sulgi Kim; Shunichi Nakagawa; John Lung; Jong Bum Choi; Woo Sang Ryu; Too Jae Min; Hyun Phil Shin; Kyudam Kim; Ji Won Yoo

doi:10.1016/j.jamda.2013.10.012

The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents With Preserved Cognition

Sun Jung Kim, Eun cheol Park, Sulgi Kim, Shunichi Nakagawa, John Lung, Jong Bum Choi, Woo Sang Ryu, Too Jae Min, Hyun Phil Shin, Kyudam Kim, Ji Won Yoo

Research output: Contribution to journal › Article › peer-review

20 Citations (Scopus)

Abstract

Objectives: To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. Design/measurements: Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). Setting/participants: Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. Results: The average quality- of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = -0.728; P = 04) and depression (parameter estimate = -3.015; P =01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P =12) and not pain (parameter estimate = -0.705; P =47). Conclusion: The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were.

Original language	English
Pages (from-to)	220-225
Number of pages	6
Journal	Journal of the American Medical Directors Association
Volume	15
Issue number	3
DOIs	https://doi.org/10.1016/j.jamda.2013.10.012
Publication status	Published - 2014 Mar
Externally published	Yes

Bibliographical note

Funding Information:
This study was funded by the American Geriatrics Society (Junior Researcher Seed Grant) and Korean Ministry of Education, Science, and Technology (Excellence of Quality of Care Project) . The funding sources had no role in design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript. All authors have no financial or personal relationship with a third party whose interests could be positively or negatively influenced by the article's content.

Keywords

Activity of daily living
Cognition
Nursing home
Quality of health care
Quality of life

ASJC Scopus subject areas

Nursing(all)
Health Policy
Geriatrics and Gerontology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.jamda.2013.10.012

Cite this

Kim, S. J., Park, E. C., Kim, S., Nakagawa, S., Lung, J., Choi, J. B., Ryu, W. S., Min, T. J., Shin, H. P., Kim, K., & Yoo, J. W. (2014). The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents With Preserved Cognition. Journal of the American Medical Directors Association, 15(3), 220-225. https://doi.org/10.1016/j.jamda.2013.10.012

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title = "The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents With Preserved Cognition",

abstract = "Objectives: To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. Design/measurements: Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). Setting/participants: Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. Results: The average quality- of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = -0.728; P = 04) and depression (parameter estimate = -3.015; P =01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P =12) and not pain (parameter estimate = -0.705; P =47). Conclusion: The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were.",

keywords = "Activity of daily living, Cognition, Nursing home, Quality of health care, Quality of life",

author = "Kim, {Sun Jung} and Park, {Eun cheol} and Sulgi Kim and Shunichi Nakagawa and John Lung and Choi, {Jong Bum} and Ryu, {Woo Sang} and Min, {Too Jae} and Shin, {Hyun Phil} and Kyudam Kim and Yoo, {Ji Won}",

note = "Funding Information: This study was funded by the American Geriatrics Society (Junior Researcher Seed Grant) and Korean Ministry of Education, Science, and Technology (Excellence of Quality of Care Project) . The funding sources had no role in design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript. All authors have no financial or personal relationship with a third party whose interests could be positively or negatively influenced by the article's content. ",

year = "2014",

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doi = "10.1016/j.jamda.2013.10.012",

language = "English",

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T1 - The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents With Preserved Cognition

AU - Kim, Sun Jung

AU - Park, Eun cheol

AU - Kim, Sulgi

AU - Nakagawa, Shunichi

AU - Lung, John

AU - Choi, Jong Bum

AU - Ryu, Woo Sang

AU - Min, Too Jae

AU - Shin, Hyun Phil

AU - Kim, Kyudam

AU - Yoo, Ji Won

N1 - Funding Information: This study was funded by the American Geriatrics Society (Junior Researcher Seed Grant) and Korean Ministry of Education, Science, and Technology (Excellence of Quality of Care Project) . The funding sources had no role in design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript. All authors have no financial or personal relationship with a third party whose interests could be positively or negatively influenced by the article's content.

PY - 2014/3

Y1 - 2014/3

N2 - Objectives: To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. Design/measurements: Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). Setting/participants: Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. Results: The average quality- of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = -0.728; P = 04) and depression (parameter estimate = -3.015; P =01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P =12) and not pain (parameter estimate = -0.705; P =47). Conclusion: The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were.

AB - Objectives: To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. Design/measurements: Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). Setting/participants: Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. Results: The average quality- of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = -0.728; P = 04) and depression (parameter estimate = -3.015; P =01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P =12) and not pain (parameter estimate = -0.705; P =47). Conclusion: The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were.

KW - Activity of daily living

KW - Cognition

KW - Nursing home

KW - Quality of health care

KW - Quality of life

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SN - 1525-8610

VL - 15

SP - 220

EP - 225

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

IS - 3

ER -

The Association Between Quality of Care and Quality of Life in Long-Stay Nursing Home Residents With Preserved Cognition

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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