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Biomedical subjects

J Angelelli

Publications and source records attributed to J Angelelli.

4 recordsLinked to original sources
PubMed2003

Benchmarking and quality in residential and nursing homes: lessons from the US.

BACKGROUND: Performance measurement and benchmarking are common concerns in the delivery of long term care. It is common to measure the performance of providers and to publicly report these data. This paper examines selected technical challenges facing those who design, implement and disseminate health care quality performance measures. METHOD: Review of the application of measures of performance in the US nursing home sector. RESULTS: Using examples drawn from the skilled nursing home arena, problems ranging from data reliability and validity, the multi-dimensional nature of quality measures and selection bias as well as differential measurement abilities are discussed. CONCLUSIONS: Benchmarking of performance is an inherently complex issue. However, to ensure that such comparisons are both fair and valid requires measures to be more technically sophisticated and sensitive to real changes attributable to changes in care.

Benchmarking↗
PubMed2001

External threats and nursing home administrator turnover.

External threats and volatility in the long-term-care sector in recent decades have posed serious challenges for nursing home administrators. Greater job complexity and administrative responsibilities resulting from public policies and more specialization and competitiveness in nursing home markets have made turnover a significant issue. This article examines administrator turnover from 1970 through 1997 in New York State and describes how turnover increased markedly in the late 1980s and early 1990s.

Attitude of Health Personnel↗
PubMed1996

Context and development in family problem solving with preadolescent children.

This study analyzed correlates of social problem solving in 63 2-parent families with a preadolescent child during structured discussions in the home. The longitudinal design assessed families when the preadolescent was about 9.5 years old and again 2 years later. Links between problem solving and features of the immediate ecological context were examined. There was a substantial decline in the quality of family problem solving during preadolescence associated with changes in the participation and affective behavior of fathers and preadolescents. Although problem solving was not less effective on autonomy topics, it was markedly worse when parents, rather than the preadolescent, selected the topic for discussion. Preadolescent topic selection triggered a pattern of productive participation and affective behavior in both parents and preadolescents. The results clarify the nature of ambivalent parent-child relations just prior to puberty by specifying changes in family problem solving which correspond with preadolescent autonomy striving.

Adolescent↗