An International Mapping of Medical Care in Nursing Homes
Nursing home (NH) residents are increasingly in need of timely and frequent medical care, presupposing not only available but perhaps also continual medical care provision in NHs. The provision of this medical care is organized differently both within and across countries, which may in turn profound...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2019-01-01
|
Series: | Health Services Insights |
Online Access: | https://doi.org/10.1177/1178632918825083 |
id |
doaj-d10c92df5714497097df81df3a313829 |
---|---|
record_format |
Article |
spelling |
doaj-d10c92df5714497097df81df3a3138292020-11-25T03:00:30ZengSAGE PublishingHealth Services Insights1178-63292019-01-011210.1177/1178632918825083An International Mapping of Medical Care in Nursing HomesGudmund Ågotnes0Margaret J McGregor1Joel Lexchin2Malcolm B Doupe3Beatrice Müller4Charlene Harrington5Centre for Care Research, Western Norway University of Applied Sciences, Bergen, NorwayDepartment of Family Practice, Faculty of Medicine, The University of British Columbia, Vancouver, BC, CanadaSchool of Health Policy and Management, Faculty of Health, York University, Toronto, ON, CanadaDepartments of Community Health Sciences and Emergency Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, CanadaDepartment of Gerontology, University of Vechta, Vechta, GermanyDepartment of Social & Behavioral Sciences, University of California, San Francisco, San Francisco, CA, USANursing home (NH) residents are increasingly in need of timely and frequent medical care, presupposing not only available but perhaps also continual medical care provision in NHs. The provision of this medical care is organized differently both within and across countries, which may in turn profoundly affect the overall quality of care provided to NH residents. Data were collected from official legislations and regulations, academic publications, and statistical databases. Based on this set of data, we describe and compare the policies and practices guiding how medical care is provided across Canada (2 provinces), Germany, Norway, and the United States. Our findings disclose that there is a considerable difference to find among jurisdictions regarding specificity and scope of regulations regarding medical care in NHs. Based on our data, we construct 2 general models of medical care: (1) more regulations—fee-for-service payment—open staffing models and (2) less regulation—salaried positions—closed staffing models. Some evidence indicates that model 1 can lead to less available medical care provision and to medical care provision being less integrated into the overall care services. As such, we argue that the service models discussed can significantly influence continuity of medical care in NH.https://doi.org/10.1177/1178632918825083 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gudmund Ågotnes Margaret J McGregor Joel Lexchin Malcolm B Doupe Beatrice Müller Charlene Harrington |
spellingShingle |
Gudmund Ågotnes Margaret J McGregor Joel Lexchin Malcolm B Doupe Beatrice Müller Charlene Harrington An International Mapping of Medical Care in Nursing Homes Health Services Insights |
author_facet |
Gudmund Ågotnes Margaret J McGregor Joel Lexchin Malcolm B Doupe Beatrice Müller Charlene Harrington |
author_sort |
Gudmund Ågotnes |
title |
An International Mapping of Medical Care in Nursing Homes |
title_short |
An International Mapping of Medical Care in Nursing Homes |
title_full |
An International Mapping of Medical Care in Nursing Homes |
title_fullStr |
An International Mapping of Medical Care in Nursing Homes |
title_full_unstemmed |
An International Mapping of Medical Care in Nursing Homes |
title_sort |
international mapping of medical care in nursing homes |
publisher |
SAGE Publishing |
series |
Health Services Insights |
issn |
1178-6329 |
publishDate |
2019-01-01 |
description |
Nursing home (NH) residents are increasingly in need of timely and frequent medical care, presupposing not only available but perhaps also continual medical care provision in NHs. The provision of this medical care is organized differently both within and across countries, which may in turn profoundly affect the overall quality of care provided to NH residents. Data were collected from official legislations and regulations, academic publications, and statistical databases. Based on this set of data, we describe and compare the policies and practices guiding how medical care is provided across Canada (2 provinces), Germany, Norway, and the United States. Our findings disclose that there is a considerable difference to find among jurisdictions regarding specificity and scope of regulations regarding medical care in NHs. Based on our data, we construct 2 general models of medical care: (1) more regulations—fee-for-service payment—open staffing models and (2) less regulation—salaried positions—closed staffing models. Some evidence indicates that model 1 can lead to less available medical care provision and to medical care provision being less integrated into the overall care services. As such, we argue that the service models discussed can significantly influence continuity of medical care in NH. |
url |
https://doi.org/10.1177/1178632918825083 |
work_keys_str_mv |
AT gudmundagotnes aninternationalmappingofmedicalcareinnursinghomes AT margaretjmcgregor aninternationalmappingofmedicalcareinnursinghomes AT joellexchin aninternationalmappingofmedicalcareinnursinghomes AT malcolmbdoupe aninternationalmappingofmedicalcareinnursinghomes AT beatricemuller aninternationalmappingofmedicalcareinnursinghomes AT charleneharrington aninternationalmappingofmedicalcareinnursinghomes AT gudmundagotnes internationalmappingofmedicalcareinnursinghomes AT margaretjmcgregor internationalmappingofmedicalcareinnursinghomes AT joellexchin internationalmappingofmedicalcareinnursinghomes AT malcolmbdoupe internationalmappingofmedicalcareinnursinghomes AT beatricemuller internationalmappingofmedicalcareinnursinghomes AT charleneharrington internationalmappingofmedicalcareinnursinghomes |
_version_ |
1724697709460324352 |