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Biomedical subjects

A P Glass

Publications and source records attributed to A P Glass.

4 recordsLinked to original sources

Identifying issues important to patients on a hospital satisfaction questionnaire.

A patient satisfaction questionnaire used by a private, nonprofit psychiatric hospital was revised to include issues considered important by patients. Focus groups were used to obtain patients' written responses to general questions about the essential aspects of their hospital stay and factors contributing to their recovery. Other issues were identified through patients' ratings of a list of items found in the literature or included on the hospital's current questionnaire. The results indicated that caring staff, explanations of treatment, and involvement in groups and classes were considered most important by patients.

Adult↗

Nursing home quality: a framework for analysis.

Previous efforts to evaluate nursing home quality have been hampered by the lack of a conceptual model that specifies the major components and specifically associates measurable indicators with quality. An extensive literature review reveals many fragmented pieces of information, but no framework in which to fit the pieces together. The model presented here identifies four major dimensions of nursing home quality: (a) staff intervention, (b) physical environment, (c) nutrition/food service, and (d) community relations. These dimensions go beyond traditional "quality of care" by including quality-of-life considerations as well. The dimensions are each further divided into two subdimensions. I propose that measurable indicators for each of these eight subdimensions can be combined to make an effective and comprehensive quality measure.

Community-Institutional Relations↗

Resident assessments: a new tool for measuring and improving nursing home quality.

The United States is adopting a resident assessment instrument nationwide that holds great potential for the measurement and improvement of nursing home quality. The steps necessary to ultimately use the assessment instrument to evaluate institutional quality at the facility level are discussed. Drawing from experience with a standardized resident assessment system used in Virginia since 1983, Anne Glass describes how assessments were employed in an exploratory project to examine the relative performance of 135 facilities. A model of nursing home quality is included to explain how indicators drawn from assessments relate to quality. Advantages of using a resident-assessment-based system to evaluate institutional quality are outlined. When computerized, this wealth of data will help clarify facility norms and support continuous quality improvement.

Documentation↗