A cross-sectional survey to investigate the quality of care in Tuscan (Italy) nursing homes: the structural, process and outcome indicators of nutritional care.

Abstract:

BACKGROUND:Previous studies have investigated process and structure indicators of nutritional care as well as their use in nursing homes (NHs), but the relative weight of these indicators in predicting the risk of malnutrition remains unclear. Aims of the present study are to describe the quality indicators of nutritional care in older residents in a sample of NHs in Tuscany, Italy, and to evaluate the predictors of protein-energy malnutrition risk. METHODS:A cross-sectional survey was conducted in 67 NHs. Information was collected to evaluate quality indicators of nutritional care and the individual risk factors for malnutrition, which was assessed using the Malnutrition Universal Screening Tool. A multilevel model was used to analyse the association between risk and predictors. RESULTS:Out of 2395 participants, 23.7 % were at high, 11 % at medium, and 65.3 % at low risk for malnutrition. Forty-two percent of the NHs had only a personal scale to weigh residents; 88 % did not routinely use a screening test/tool for malnutrition; 60 % used some standardized approach for weight measurement; 43 % did not assess the severity of dysphagia; 12 % were not staffed with dietitians. Patients living in NHs where a chair or platform scale was available had a significantly lower risk of malnutrition (OR = 0.73; 95 % CI = 0.56-0.94). None of the other structural or process quality indicators showed a statistically significant association with malnutrition risk. CONCLUSIONS:Of all the process and structural indicators considered, only the absence of an adequate scale to weigh residents predicted the risk of malnutrition, after adjusting for case mix. These findings prompt the conduction of further investigations on the effectiveness of structural and process indicators that are used to describe quality of nutritional care in NHs.

journal_name

BMC Health Serv Res

authors

Bonaccorsi G,Collini F,Castagnoli M,Di Bari M,Cavallini MC,Zaffarana N,Pepe P,Mugelli A,Lucenteforte E,Vannacci A,Lorini C

doi

10.1186/s12913-015-0881-5

subject

Has Abstract

pub_date

2015-06-06 00:00:00

pages

223

issn

1472-6963

pii

10.1186/s12913-015-0881-5

journal_volume

15

pub_type

杂志文章
  • Medical complexity and time to lung cancer treatment - a three-year retrospective chart review.

    abstract:BACKGROUND:The time from a referral for suspected lung cancer is received at a hospital until treatment start has been defined as a quality indicator. Current Norwegian recommendation is that ≥70% should start surgery or radiotherapy within 42 calendar days and systemic therapy within 35 days. However, delays can occur...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1952-y

    authors: Stokstad T,Sørhaug S,Amundsen T,Grønberg BH

    更新日期:2017-01-17 00:00:00

  • Does insurance protect individuals from catastrophic payments for surgical care? An analysis of Ghana's National Health Insurance Scheme at Korle-Bu teaching Hospital.

    abstract:BACKGROUND:According to the World Health Organization, essential surgery should be recognized as an essential component of universal health coverage. In Ghana, insurance is associated with a reduction in maternal mortality and improved access to essential medications, but whether it eliminates financial barriers to sur...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-4887-2

    authors: Okoroh J,Sarpong DO,Essoun S,Riviello R,Harris H,Weissman JS

    更新日期:2020-01-17 00:00:00

  • Implementation of an interprofessional medication adherence program for HIV patients: description of the process using the framework for the implementation of services in pharmacy.

    abstract:BACKGROUND:The community pharmacy center of the Department of Ambulatory Care and Community Medicine of the Policlinique Médicale Universitaire (PMU), Lausanne, Switzerland developed and implemented an interprofessional medication adherence program for chronic patients (IMAP). In 2014, a project was launched to impleme...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-018-3509-8

    authors: Lelubre M,Clerc O,Grosjean M,Amighi K,De Vriese C,Bugnon O,Schneider MP

    更新日期:2018-09-10 00:00:00

  • Cost-effectiveness of Human Papilloma Virus (HPV) vaccination in Nigeria: a decision analysis using pragmatic parameter estimates for cost and programme coverage.

    abstract:BACKGROUND:World Health Organisation recommends routine Human Papilloma Virus (HPV) vaccination for girls when its cost-effectiveness in the country or region has been duly considered. We therefore aimed to evaluate cost-effectiveness of HPV vaccination in Nigeria using pragmatic parameter estimates for cost and progra...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2758-2

    authors: Ekwunife OI,Lhachimi SK

    更新日期:2017-12-08 00:00:00

  • Implementation of hospital governing boards: views from the field.

    abstract:BACKGROUND:Decentralization through the establishment of hospital governing boards has been touted as an effective way to improve the quality and efficiency of hospitals in low-income countries. Although several studies have examined the process of decentralization, few have quantitatively assessed the implementation o...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-178

    authors: McNatt Z,Thompson JW,Mengistu A,Tatek D,Linnander E,Ageze L,Lawson R,Berhanu N,Bradley EH

    更新日期:2014-04-17 00:00:00

  • Determinants of aggregate length of hospital stay in the last year of life in Switzerland.

    abstract:BACKGROUND:In contrast to individual preferences, most people in developed countries die in health care institutions, with a considerable impact on health care resource use and costs. However, evidence about determinants of aggregate length of hospital stay in the last year preceding death is scant. METHODS:Nationwide...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1725-7

    authors: Hedinger D,Braun J,Kaplan V,Bopp M,Swiss National Cohort Study Group.

    更新日期:2016-09-01 00:00:00

  • Factors influencing health care utilisation among Aboriginal cardiac patients in central Australia: a qualitative study.

    abstract:BACKGROUND:Aboriginal Australians suffer from poorer overall health compared to the general Australian population, particularly in terms of cardiovascular disease and prognosis following a cardiac event. Despite such disparities, Aboriginal Australians utilise health care services at much lower rates than the general p...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-83

    authors: Artuso S,Cargo M,Brown A,Daniel M

    更新日期:2013-03-06 00:00:00

  • Health literacy and primary health care use of ethnic minorities in the Netherlands.

    abstract:BACKGROUND:In the Netherlands, ethnic minority populations visit their general practitioner (GP) more often than the indigenous population. An explanation for this association is lacking. Recently, health literacy is suggested as a possible explaining mechanism. Internationally, associations between health literacy and...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2276-2

    authors: van der Gaag M,van der Heide I,Spreeuwenberg PMM,Brabers AEM,Rademakers JJDJM

    更新日期:2017-05-15 00:00:00

  • Improving access to medicines for non-communicable diseases in rural India: a mixed methods study protocol using quasi-experimental design.

    abstract:BACKGROUND:India has the distinction of financing its healthcare mainly through out-of-pocket expenses by individual families contributing to catastrophic health expenditure and impoverishment. Nearly 70 % of the expenditure is on medicines purchased at private pharmacies. Patients with chronic ailments are especially ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1680-3

    authors: Prashanth NS,Elias MA,Pati MK,Aivalli P,Munegowda CM,Bhanuprakash S,Sadhana SM,Criel B,Bigdeli M,Devadasan N

    更新日期:2016-08-22 00:00:00

  • Impact of rehabilitation on mortality and readmissions after surgery for hip fracture.

    abstract:BACKGROUND:Hip fracture in elderly patients is a rising global public health concern because of population ageing, and increasing frailty. Long-term morbidity related to poor management of hip fracture is associated with decreased quality of life, survival, and increase in healthcare costs. Receiving postoperative reha...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-018-3523-x

    authors: Tedesco D,Gibertoni D,Rucci P,Hernandez-Boussard T,Rosa S,Bianciardi L,Rolli M,Fantini MP

    更新日期:2018-09-10 00:00:00

  • Transitional care interventions reduce unplanned hospital readmissions in high-risk older adults.

    abstract:BACKGROUND:Acute hospital services account for the largest proportion of health care system budgets, and older adults are the most frequent users. As a result, older people who have been recently discharged from hospital may be at greater risk of readmission. This study aims to evaluate the comparative effectiveness of...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12913-018-3771-9

    authors: Finlayson K,Chang AM,Courtney MD,Edwards HE,Parker AW,Hamilton K,Pham TDX,O'Brien J

    更新日期:2018-12-12 00:00:00

  • Cost-effectiveness of an electronic clinical decision support system for improving quality of antenatal and childbirth care in rural Tanzania: an intervention study.

    abstract:BACKGROUND:QUALMAT project aimed at improving quality of maternal and newborn care in selected health care facilities in three African countries. An electronic clinical decision support system was implemented to support providers comply with established standards in antenatal and childbirth care. Given that health care...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2457-z

    authors: Saronga HP,Duysburgh E,Massawe S,Dalaba MA,Wangwe P,Sukums F,Leshabari M,Blank A,Sauerborn R,Loukanova S

    更新日期:2017-08-07 00:00:00

  • Analysis of the quality of seasonal malaria chemoprevention provided by community health Workers in Boulsa health district, Burkina Faso.

    abstract:BACKGROUND:Since 2014, the Burkina Faso government has made Seasonal Malaria Chemoprevention (SMC) a priority in its strategic plan to fight against malaria among children aged from 3 to 59 months. Very few studies have examined the care provided by community health workers in the framework of this strategy. The purpos...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4299-3

    authors: Kombate G,Guiella G,Baya B,Serme L,Bila A,Haddad S,Bicaba A

    更新日期:2019-07-10 00:00:00

  • World health system performance revisited: the impact of varying the relative importance of health system goals.

    abstract:BACKGROUND:In 2002, the World Health Organization published a health system performance ranking for 191 member countries. The ranking was based on five indicators, with fixed weights common to all countries. METHODS:We investigate the feasibility and desirability of using mathematical programming techniques that allow...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-4-19

    authors: Lauer JA,Knox Lovell CA,Murray CJ,Evans DB

    更新日期:2004-07-22 00:00:00

  • A 10-year population-based study of people with multiple sclerosis in Stockholm, Sweden: use of and satisfaction with care and the value of different factors in predicting use of care.

    abstract:BACKGROUND:The national strategy for treatment of chronic diseases - including MS - and changes in the Swedish welfare system, call for analyses of the use of, and patient satisfaction with, care in a long-term perspective. The aim was therefore to explore the use of care and the predictive value of personal factors, d...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-1144-1

    authors: Chruzander C,Johansson S,Gottberg K,Einarsson U,Hillert J,Holmqvist LW,Ytterberg C

    更新日期:2015-10-24 00:00:00

  • The translation and psychometric assessment of the perception of empowerment in midwifery scale: the Persian version.

    abstract:BACKGROUND:A major part of midwifery care involves the empowerment of women and their families for the control of factors affecting their health. To this end, midwives should experience their own empowerment first. The present study was conducted to translate and determine the psychometric properties of the Perception ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05326-y

    authors: Hajiesmaello M,Kariman N,Sharif Nia H,Ozgoli G,Hajian S,Bazzazian S,Mokhtarian-Gilani T

    更新日期:2020-05-26 00:00:00

  • Influence of quality of care and individual patient characteristics on quality of life and return to work in survivors of the acute respiratory distress syndrome: protocol for a prospective, observational, multi-centre patient cohort study (DACAPO).

    abstract:BACKGROUND:Health-related quality of life (HRQoL) and return to work are important outcomes in critical care medicine, reaching beyond mortality. Little is known on factors predictive of HRQoL and return to work in critical illness, including the acute respiratory distress syndrome (ARDS), and no evidence exists on the...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-015-1232-2

    authors: Brandstetter S,Dodoo-Schittko F,Blecha S,Sebök P,Thomann-Hackner K,Quintel M,Weber-Carstens S,Bein T,Apfelbacher C

    更新日期:2015-12-17 00:00:00

  • Design and methods for a randomized clinical trial comparing three outreach efforts to improve screening mammography adherence.

    abstract:BACKGROUND:Despite the demonstrated need to increase screening mammography utilization and strong evidence that mail and telephone outreach to women can increase screening, most managed care organizations have not adopted comprehensive outreach programs. The uncertainty about optimum strategies and cost effectiveness h...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-11-145

    authors: Costanza ME,Luckmann R,White MJ,Rosal MC,Cranos C,Reed G,Clark R,Sama S,Yood R

    更新日期:2011-06-03 00:00:00

  • Measuring safety culture in Dutch primary care: psychometric characteristics of the SCOPE-PC questionnaire.

    abstract:BACKGROUND:Patient safety has been a priority in primary healthcare in the last years. The prevailing culture is seen as an important condition for patient safety in practice and several tools to measure patient safety culture have therefore been developed. Although Dutch primary care consists of different professions,...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-354

    authors: Verbakel NJ,Zwart DL,Langelaan M,Verheij TJ,Wagner C

    更新日期:2013-09-17 00:00:00

  • Process evaluations of task sharing interventions for perinatal depression in low and middle income countries (LMIC): a systematic review and qualitative meta-synthesis.

    abstract:BACKGROUND:Perinatal depression is common in low and middle income countries (LAMICs). Task sharing interventions have been implemented to treat perinatal depression in these settings, as a way of dealing with staff shortages. Task sharing allows lay health workers to provide services for less complex cases while being...

    journal_title:BMC health services research

    pub_type: 杂志文章,meta分析,评审

    doi:10.1186/s12913-018-3030-0

    authors: Munodawafa M,Mall S,Lund C,Schneider M

    更新日期:2018-03-23 00:00:00

  • Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study.

    abstract:BACKGROUND:Studies on the effect of organizational factors on the involuntary admission of psychiatric patients have been few and yielded inconclusive results. The objective was to examine the importance of type of service-system, level of care, length of inpatient stay, gender, age, and diagnosis on rates of involunta...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-64

    authors: Myklebust LH,Sørgaard K,Wynn R

    更新日期:2014-02-10 00:00:00

  • Self-reported social class in adolescents: validity and relationship with gradients in self-reported health.

    abstract:BACKGROUND:Analyzing social differences in the health of adolescents is a challenge. The accuracy of adolescent's report on familial socio-economic position is unknown. The aims of the study were to examine the validity of measuring occupational social class and family level of education reported by adolescents aged 12...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-151

    authors: Pueyo MJ,Serra-Sutton V,Alonso J,Starfield B,Rajmil L

    更新日期:2007-09-24 00:00:00

  • How are medical groups identified as high-performing? The effect of different approaches to classification of performance.

    abstract:BACKGROUND:Payers and policy makers across the international healthcare market are increasingly using publicly available summary measures to designate providers as "high-performing", but no consistently-applied approach exists to identifying high performers. This paper uses publicly available data to examine how differ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4293-9

    authors: Ahluwalia SC,Damberg CL,Haas A,Shekelle PG

    更新日期:2019-07-18 00:00:00

  • Case studies of innovative medical device companies from India: barriers and enablers to development.

    abstract:BACKGROUND:Over 75% of the medical devices used in India are imported. Often, they are costly and maladapted to low-resource settings. We have prepared case studies of six firms in Bangalore that could contribute to solving this problem. They have developed (or are developing) innovative health care products and theref...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-199

    authors: Jarosławski S,Saberwal G

    更新日期:2013-05-30 00:00:00

  • Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries.

    abstract:BACKGROUND:Different service characteristics are known to influence mental health care delivery. Much less is known about the impact of contextual factors, such as the socioeconomic circumstances, on the provision of care to socially marginalized groups.The objectives of this work were to assess the organisational char...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-49

    authors: Costa D,Matanov A,Canavan R,Gabor E,Greacen T,Vondráčková P,Kluge U,Nicaise P,Moskalewicz J,Díaz-Olalla JM,Straßmayr C,Kikkert M,Soares JJ,Gaddini A,Barros H,Priebe S

    更新日期:2014-02-03 00:00:00

  • Regulatory barriers to equity in a health system in transition: a qualitative study in Bulgaria.

    abstract:BACKGROUND:Health reforms in Bulgaria have introduced major changes to the financing, delivery and regulation of health care. As in many other countries of Central and Eastern Europe, these included introducing general practice, establishing a health insurance system, reorganizing hospital services, and setting up new ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-11-219

    authors: Rechel B,Blackburn CM,Spencer NJ,Rechel B

    更新日期:2011-09-17 00:00:00

  • Social relations and healthcare utilisation among middle-aged and older people: study protocol for an implementation and register-based study in Denmark.

    abstract:BACKGROUND:While previous research establishes an association between social relations, health and use of healthcare services among older people, how to implement this knowledge in real-life settings has received much less attention. This study will explore the relationship between social relations, health and use of h...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2650-0

    authors: Mikkelsen ASB,Lund R,Kristiansen M

    更新日期:2017-11-15 00:00:00

  • The benefits of co-location in primary care practices: the perspectives of general practitioners and patients in 34 countries.

    abstract:BACKGROUND:There is no clear evidence as to whether the co-location of primary care professionals in the same facility positively influences their way of working and the quality of healthcare as perceived by patients. The aim of this study was to identify the relationships between general practitioner (GP) co-location ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-2913-4

    authors: Bonciani M,Schäfer W,Barsanti S,Heinemann S,Groenewegen PP

    更新日期:2018-02-21 00:00:00

  • Assessing participation in a community-based health planning and services programme in Ghana.

    abstract:BACKGROUND:Community participation is increasingly seen as a pre-requisite for successful health service uptake. It is notoriously difficult to assess participation and little has been done to advance tools for the assessment of community participation. In this paper we illustrate an approach that combines a 'social ps...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-233

    authors: Baatiema L,Skovdal M,Rifkin S,Campbell C

    更新日期:2013-06-26 00:00:00

  • We are bitter, but we are better off: case study of the implementation of an electronic health record system into a mental health hospital in England.

    abstract:BACKGROUND:In contrast to the acute hospital sector, there have been relatively few implementations of integrated electronic health record (EHR) systems into specialist mental health settings. The National Programme for Information Technology (NPfIT) in England was the most expensive IT-based transformation of public s...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-484

    authors: Takian A,Sheikh A,Barber N

    更新日期:2012-12-31 00:00:00