Loading…
Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis
Objective To compare quality of care in for-profit and not-for-profit nursing homes. Design Systematic review and meta-analysis of observational studies and randomised controlled trials investigating quality of care in for-profit versus not-for-profit nursing homes. Results A comprehensive search yi...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Norwegian |
| Subjects: | |
| Online Access: | Request full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | |
|---|---|
| cites | |
| container_end_page | |
| container_issue | |
| container_start_page | |
| container_title | |
| container_volume | |
| creator | Comondore, Vikram R Devereaux, P. J Zhou, Qi Stone, Samuel B Busse, Jason W Ravindran, Nikila C Burns, Karen E Haines, Ted Stringer, Bernadette Cook, Deborah J Walter, Stephen D Sullivan, Terrence Berwanger, Otavio Bandari, Mohit Banglawala, Sarfaraz Lavis, John N Petrisor, Brad Schünemann, Holger Walsh, Katie Bhatnagar, Neera Guyatt, Gordon H |
| description | Objective To compare quality of care in for-profit and not-for-profit nursing homes.
Design Systematic review and meta-analysis of observational studies and randomised controlled trials investigating quality of care in for-profit versus not-for-profit nursing homes.
Results A comprehensive search yielded 8827 citations, of which 956 were judged appropriate for full text review. Study characteristics and results of 82 articles that met inclusion criteria were summarised, and results for the four most frequently reported quality measures were pooled. Included studies reported results dating from 1965 to 2003. In 40 studies, all statistically significant comparisons (P |
| format | article |
| fullrecord | <record><control><sourceid>cristin_3HK</sourceid><recordid>TN_cdi_cristin_nora_11250_2722234</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>11250_2722234</sourcerecordid><originalsourceid>FETCH-cristin_nora_11250_27222343</originalsourceid><addsrcrecordid>eNqNi7EKwkAMQLs4iPoP8QMO7FURXEVxFdxLOHMaaHOSpEr_XhAHR6cHj_emVToP2LGPUDIkVAIWyEXDQ0tmB5QrSPHwo2RQY7nBvfRkO7DRnHp0TqD0ZHp9np4cAwp2o7HNq0nGzmjx5axaHg-X_SkkZXOWVopiW9dxs2rjNsbYrJt_mjdtBD3y</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis</title><source>NORA - Norwegian Open Research Archives</source><creator>Comondore, Vikram R ; Devereaux, P. J ; Zhou, Qi ; Stone, Samuel B ; Busse, Jason W ; Ravindran, Nikila C ; Burns, Karen E ; Haines, Ted ; Stringer, Bernadette ; Cook, Deborah J ; Walter, Stephen D ; Sullivan, Terrence ; Berwanger, Otavio ; Bandari, Mohit ; Banglawala, Sarfaraz ; Lavis, John N ; Petrisor, Brad ; Schünemann, Holger ; Walsh, Katie ; Bhatnagar, Neera ; Guyatt, Gordon H</creator><creatorcontrib>Comondore, Vikram R ; Devereaux, P. J ; Zhou, Qi ; Stone, Samuel B ; Busse, Jason W ; Ravindran, Nikila C ; Burns, Karen E ; Haines, Ted ; Stringer, Bernadette ; Cook, Deborah J ; Walter, Stephen D ; Sullivan, Terrence ; Berwanger, Otavio ; Bandari, Mohit ; Banglawala, Sarfaraz ; Lavis, John N ; Petrisor, Brad ; Schünemann, Holger ; Walsh, Katie ; Bhatnagar, Neera ; Guyatt, Gordon H</creatorcontrib><description>Objective To compare quality of care in for-profit and not-for-profit nursing homes.
Design Systematic review and meta-analysis of observational studies and randomised controlled trials investigating quality of care in for-profit versus not-for-profit nursing homes.
Results A comprehensive search yielded 8827 citations, of which 956 were judged appropriate for full text review. Study characteristics and results of 82 articles that met inclusion criteria were summarised, and results for the four most frequently reported quality measures were pooled. Included studies reported results dating from 1965 to 2003. In 40 studies, all statistically significant comparisons (P<0.05) favoured not-for-profit facilities; in three studies, all statistically significant comparisons favoured for-profit facilities, and the remaining studies had less consistent findings. Meta-analyses suggested that not-for-profit facilities delivered higher quality care than did for-profit facilities for two of the four most frequently reported quality measures: more or higher quality staffing (ratio of effect 1.11, 95% confidence interval 1.07 to 1.14, P<0.001) and lower pressure ulcer prevalence (odds ratio 0.91, 95% confidence interval 0.83 to 0.98, P=0.02). Non-significant results favouring not-for-profit homes were found for the two other most frequently used measures: physical restraint use (odds ratio 0.93, 0.82 to 1.05, P=0.25) and fewer deficiencies in governmental regulatory assessments (ratio of effect 0.90, 0.78 to 1.04, P=0.17).
Conclusions This systematic review and meta-analysis of the evidence suggests that, on average, not-for-profit nursing homes deliver higher quality care than do for-profit nursing homes. Many factors may, however, influence this relation in the case of individual institutions.</description><language>nor</language><publisher>BMJ</publisher><subject>kvalitet ; nursing homes ; quality of care ; tjenestetilbud</subject><creationdate>2009</creationdate><rights>info:eu-repo/semantics/openAccess</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,777,882,26548</link.rule.ids><linktorsrc>$$Uhttp://hdl.handle.net/11250/2722234$$EView_record_in_NORA$$FView_record_in_$$GNORA$$Hfree_for_read</linktorsrc></links><search><creatorcontrib>Comondore, Vikram R</creatorcontrib><creatorcontrib>Devereaux, P. J</creatorcontrib><creatorcontrib>Zhou, Qi</creatorcontrib><creatorcontrib>Stone, Samuel B</creatorcontrib><creatorcontrib>Busse, Jason W</creatorcontrib><creatorcontrib>Ravindran, Nikila C</creatorcontrib><creatorcontrib>Burns, Karen E</creatorcontrib><creatorcontrib>Haines, Ted</creatorcontrib><creatorcontrib>Stringer, Bernadette</creatorcontrib><creatorcontrib>Cook, Deborah J</creatorcontrib><creatorcontrib>Walter, Stephen D</creatorcontrib><creatorcontrib>Sullivan, Terrence</creatorcontrib><creatorcontrib>Berwanger, Otavio</creatorcontrib><creatorcontrib>Bandari, Mohit</creatorcontrib><creatorcontrib>Banglawala, Sarfaraz</creatorcontrib><creatorcontrib>Lavis, John N</creatorcontrib><creatorcontrib>Petrisor, Brad</creatorcontrib><creatorcontrib>Schünemann, Holger</creatorcontrib><creatorcontrib>Walsh, Katie</creatorcontrib><creatorcontrib>Bhatnagar, Neera</creatorcontrib><creatorcontrib>Guyatt, Gordon H</creatorcontrib><title>Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis</title><description>Objective To compare quality of care in for-profit and not-for-profit nursing homes.
Design Systematic review and meta-analysis of observational studies and randomised controlled trials investigating quality of care in for-profit versus not-for-profit nursing homes.
Results A comprehensive search yielded 8827 citations, of which 956 were judged appropriate for full text review. Study characteristics and results of 82 articles that met inclusion criteria were summarised, and results for the four most frequently reported quality measures were pooled. Included studies reported results dating from 1965 to 2003. In 40 studies, all statistically significant comparisons (P<0.05) favoured not-for-profit facilities; in three studies, all statistically significant comparisons favoured for-profit facilities, and the remaining studies had less consistent findings. Meta-analyses suggested that not-for-profit facilities delivered higher quality care than did for-profit facilities for two of the four most frequently reported quality measures: more or higher quality staffing (ratio of effect 1.11, 95% confidence interval 1.07 to 1.14, P<0.001) and lower pressure ulcer prevalence (odds ratio 0.91, 95% confidence interval 0.83 to 0.98, P=0.02). Non-significant results favouring not-for-profit homes were found for the two other most frequently used measures: physical restraint use (odds ratio 0.93, 0.82 to 1.05, P=0.25) and fewer deficiencies in governmental regulatory assessments (ratio of effect 0.90, 0.78 to 1.04, P=0.17).
Conclusions This systematic review and meta-analysis of the evidence suggests that, on average, not-for-profit nursing homes deliver higher quality care than do for-profit nursing homes. Many factors may, however, influence this relation in the case of individual institutions.</description><subject>kvalitet</subject><subject>nursing homes</subject><subject>quality of care</subject><subject>tjenestetilbud</subject><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>3HK</sourceid><recordid>eNqNi7EKwkAMQLs4iPoP8QMO7FURXEVxFdxLOHMaaHOSpEr_XhAHR6cHj_emVToP2LGPUDIkVAIWyEXDQ0tmB5QrSPHwo2RQY7nBvfRkO7DRnHp0TqD0ZHp9np4cAwp2o7HNq0nGzmjx5axaHg-X_SkkZXOWVopiW9dxs2rjNsbYrJt_mjdtBD3y</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Comondore, Vikram R</creator><creator>Devereaux, P. J</creator><creator>Zhou, Qi</creator><creator>Stone, Samuel B</creator><creator>Busse, Jason W</creator><creator>Ravindran, Nikila C</creator><creator>Burns, Karen E</creator><creator>Haines, Ted</creator><creator>Stringer, Bernadette</creator><creator>Cook, Deborah J</creator><creator>Walter, Stephen D</creator><creator>Sullivan, Terrence</creator><creator>Berwanger, Otavio</creator><creator>Bandari, Mohit</creator><creator>Banglawala, Sarfaraz</creator><creator>Lavis, John N</creator><creator>Petrisor, Brad</creator><creator>Schünemann, Holger</creator><creator>Walsh, Katie</creator><creator>Bhatnagar, Neera</creator><creator>Guyatt, Gordon H</creator><general>BMJ</general><scope>3HK</scope></search><sort><creationdate>2009</creationdate><title>Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis</title><author>Comondore, Vikram R ; Devereaux, P. J ; Zhou, Qi ; Stone, Samuel B ; Busse, Jason W ; Ravindran, Nikila C ; Burns, Karen E ; Haines, Ted ; Stringer, Bernadette ; Cook, Deborah J ; Walter, Stephen D ; Sullivan, Terrence ; Berwanger, Otavio ; Bandari, Mohit ; Banglawala, Sarfaraz ; Lavis, John N ; Petrisor, Brad ; Schünemann, Holger ; Walsh, Katie ; Bhatnagar, Neera ; Guyatt, Gordon H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-cristin_nora_11250_27222343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>nor</language><creationdate>2009</creationdate><topic>kvalitet</topic><topic>nursing homes</topic><topic>quality of care</topic><topic>tjenestetilbud</topic><toplevel>online_resources</toplevel><creatorcontrib>Comondore, Vikram R</creatorcontrib><creatorcontrib>Devereaux, P. J</creatorcontrib><creatorcontrib>Zhou, Qi</creatorcontrib><creatorcontrib>Stone, Samuel B</creatorcontrib><creatorcontrib>Busse, Jason W</creatorcontrib><creatorcontrib>Ravindran, Nikila C</creatorcontrib><creatorcontrib>Burns, Karen E</creatorcontrib><creatorcontrib>Haines, Ted</creatorcontrib><creatorcontrib>Stringer, Bernadette</creatorcontrib><creatorcontrib>Cook, Deborah J</creatorcontrib><creatorcontrib>Walter, Stephen D</creatorcontrib><creatorcontrib>Sullivan, Terrence</creatorcontrib><creatorcontrib>Berwanger, Otavio</creatorcontrib><creatorcontrib>Bandari, Mohit</creatorcontrib><creatorcontrib>Banglawala, Sarfaraz</creatorcontrib><creatorcontrib>Lavis, John N</creatorcontrib><creatorcontrib>Petrisor, Brad</creatorcontrib><creatorcontrib>Schünemann, Holger</creatorcontrib><creatorcontrib>Walsh, Katie</creatorcontrib><creatorcontrib>Bhatnagar, Neera</creatorcontrib><creatorcontrib>Guyatt, Gordon H</creatorcontrib><collection>NORA - Norwegian Open Research Archives</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Comondore, Vikram R</au><au>Devereaux, P. J</au><au>Zhou, Qi</au><au>Stone, Samuel B</au><au>Busse, Jason W</au><au>Ravindran, Nikila C</au><au>Burns, Karen E</au><au>Haines, Ted</au><au>Stringer, Bernadette</au><au>Cook, Deborah J</au><au>Walter, Stephen D</au><au>Sullivan, Terrence</au><au>Berwanger, Otavio</au><au>Bandari, Mohit</au><au>Banglawala, Sarfaraz</au><au>Lavis, John N</au><au>Petrisor, Brad</au><au>Schünemann, Holger</au><au>Walsh, Katie</au><au>Bhatnagar, Neera</au><au>Guyatt, Gordon H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis</atitle><date>2009</date><risdate>2009</risdate><abstract>Objective To compare quality of care in for-profit and not-for-profit nursing homes.
Design Systematic review and meta-analysis of observational studies and randomised controlled trials investigating quality of care in for-profit versus not-for-profit nursing homes.
Results A comprehensive search yielded 8827 citations, of which 956 were judged appropriate for full text review. Study characteristics and results of 82 articles that met inclusion criteria were summarised, and results for the four most frequently reported quality measures were pooled. Included studies reported results dating from 1965 to 2003. In 40 studies, all statistically significant comparisons (P<0.05) favoured not-for-profit facilities; in three studies, all statistically significant comparisons favoured for-profit facilities, and the remaining studies had less consistent findings. Meta-analyses suggested that not-for-profit facilities delivered higher quality care than did for-profit facilities for two of the four most frequently reported quality measures: more or higher quality staffing (ratio of effect 1.11, 95% confidence interval 1.07 to 1.14, P<0.001) and lower pressure ulcer prevalence (odds ratio 0.91, 95% confidence interval 0.83 to 0.98, P=0.02). Non-significant results favouring not-for-profit homes were found for the two other most frequently used measures: physical restraint use (odds ratio 0.93, 0.82 to 1.05, P=0.25) and fewer deficiencies in governmental regulatory assessments (ratio of effect 0.90, 0.78 to 1.04, P=0.17).
Conclusions This systematic review and meta-analysis of the evidence suggests that, on average, not-for-profit nursing homes deliver higher quality care than do for-profit nursing homes. Many factors may, however, influence this relation in the case of individual institutions.</abstract><pub>BMJ</pub><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext_linktorsrc |
| identifier | |
| ispartof | |
| issn | |
| language | nor |
| recordid | cdi_cristin_nora_11250_2722234 |
| source | NORA - Norwegian Open Research Archives |
| subjects | kvalitet nursing homes quality of care tjenestetilbud |
| title | Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T01%3A25%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-cristin_3HK&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Quality%20of%20care%20in%20for-profit%20and%20not-for-profit%20nursing%20homes:%20systematic%20review%20and%20meta-analysis&rft.au=Comondore,%20Vikram%20R&rft.date=2009&rft_id=info:doi/&rft_dat=%3Ccristin_3HK%3E11250_2722234%3C/cristin_3HK%3E%3Cgrp_id%3Ecdi_FETCH-cristin_nora_11250_27222343%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true |