The Impact of Dementia Special Care Units on Quality of Care: An Instrumental Variables Analysis.

ABSTRACT:

Objective

To compare the quality of care following admission to a nursing home (NH) with and without a dementia special care unit (SCU) for residents with dementia.

Data sources/study setting

National resident-level minimum dataset assessments (MDS) 2005-2010 merged with Medicare claims and provider-level data from the Online Survey, Certification, and Reporting database.

Study design

We employ an instrumental variable approach to address the endogeneity of selection into an SCU facility controlling for a range of individual-level covariates. We use "differential distance" to a nursing home with and without an SCU as our instrument.

Data collection/extraction methods

Minimum dataset assessments performed at NH admission and every quarter thereafter.

Principa

SUBMITTER: Joyce NR 

PROVIDER: S-EPMC6153167 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature