JAMDA
Volume 10, Issue 7 , Pages 498-504 , September 2009

Medical Staff Organization in Nursing Homes: Scale Development and Validation

  • Paul R. Katz, MD

      Affiliations

    • University of Rochester, Rochester, NY
    • Canandaigua VA Medical Center
    • Corresponding Author InformationAddress correspondence to Paul R. Katz, MD, University of Rochester School of Medicine and Dentistry, 435 East Henrietta, Rochester, NY 14620.
    • ,
  • Jurgis Karuza, PhD

      Affiliations

    • University of Rochester, Rochester, NY
    • State University of New York College at Buffalo, Buffalo, NY
    • ,
  • Orna Intrator, PhD

      Affiliations

    • Brown University, Providence, RI
    • ,
  • Jacqueline Zinn, PhD

      Affiliations

    • Temple University, Philadelphia, PA
    • ,
  • Vincent Mor, PhD

      Affiliations

    • Brown University, Providence, RI
    • ,
  • Thomas Caprio, MD

      Affiliations

    • University of Rochester, Rochester, NY
    • ,
  • Anthony Caprio, MD

      Affiliations

    • University of North Carolina at Chapel Hill, NC
    • ,
  • Jason Dauenhauer, PhD

      Affiliations

    • Brockport State College, Brockport, NY
    • ,
  • Julie Lima, PhD

      Affiliations

    • Brown University, Providence, RI

References 

  1. Wunderlich GS, Kohler PO. Improving the Quality of Long Term Care. Report by Institute of Medicine. Washington DC: National Academy Press; 2001;
  2. Intrator O, Castle NG, Mor V. Facility characteristics associated with hospitalization of nursing home residents: Results of a national study. Med Care. 1999;37:228–237
  3. Kane RA. Definition, measurement, and correlated quality of life in nursing homes: Toward a reasonable practice, research, and policy agenda. Gerontologist. 2003;43(Spec 2):28–36
  4. Mor V, Berg K, Angelelli J, et al. The quality of quality measurement in U.S. nursing homes. Gerontologist. 2003;43:37–46
  5. Steffen TM, Nystrom PC. Organizational determinants of service quality in nursing homes. Hosp and Health Serv Admin. 1997;42:179–191
  6. Donabedian A. The criteria and standards of quality. Ann Arbor: Health Administration Press; 1982;
  7. Lawrence P, Lorsch J. Organization and Environment. Cambridge, MA: Harvard University Press; 1967;
  8. Zinn J, Mor V. Organizational structure and the delivery of primary care to older Americans. HSR. 1998;33:354–380
  9. Roemer M, Friedman J. Doctors in Hospitals: Medical Staff Organization and Hospital Performance. Baltimore: Johns Hopkins University Press; 1971;
  10. Shortell S, Becker S, Neuhauser D. The effects of management practices on hospital efficiency and quality of care. In:  Shortell S,  Brown M editor. Organizational Research in Hospitals. Chicago: Blue Cross Association; 1976;
  11. Flood A, Scott WR. Professional power and professional effectiveness: The power of the surgical staff and the quality of surgical care in hospitals. J Health Soc Behavior. 1978;19:240–254
  12. Shortell S, LoGerfo J. Hospital medical staff organization and quality of care. Med Care. 1981;19:1041–1055
  13. Shortell S, Schmittdiel J, Wang MC, et al. An empirical assessment of high-performing medical groups: Results from a national study. Medical Care Research and Review. 2007;62:407–434
  14. Feng Z, Katz PR, Intrator O, Karuza J, Mor V. Physician and nurse staffing in nursing homes: The role and limitations of the Online Survey Certification and Reporting (OSCAR) system. J Am Med Dir Assoc. 2005;6:27–33
  15. Karuza J, Katz PR. Physician staffing pattern correlates of nursing home care: An initial inquiry and consideration of policy implications. J Am Geriatr Soc. 1994;42:787–793
  16. Katz PR, Karuza J, Parker M, Tarnove L. A national survey of medical directors. Journal of Medical Direction. 1992;2:81–94
  17. Kaissi A, Kralewski J, Curoe A, Dowd B, Silversmith J. How does the culture of medical group practices influence the types of programs used to assure quality of care?. Health Care Manage Rev. 2004;29:129–138
  18. Katz PR, Karuza J. Physician practice in nursing homes. J Am Med Dir Assoc. 2006;7:393
  19. Katz PR, Karuza J, Lawhorne L, Schnelle JF. The nursing home physician workforce. J Am Med Dir Assoc. 2006;7:394–398
  20. DeMaio T, Rothgeb J. Cognitive interviewing techniques: In the lab and in the field. San Francisco: Jossey-Bass; 1996;
  21. Dillman D. Mail and telephone surveys: The total design method. New York: John Wiley and Sons; 1978;
  22. Levy C, Palat SI, Kramer AM. Physician practice patterns in nursing homes. J Am Med Dir Assoc. 2007;8:558–567
  23. Caprio T, Karuza J, Katz PR. Profile of physicians in the nursing home: Time perception and barriers to optimal medical practice. J Am Med Dir Assoc. 2009;10:93–97

 Supported by the: NIA R-21 AGO25246 and HRSA 5D31HP70118-05 grants.The authors have no conflicts of interest relating to this article.

PII: S1525-8610(09)00115-7

doi: 10.1016/j.jamda.2009.04.002

JAMDA
Volume 10, Issue 7 , Pages 498-504 , September 2009

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