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J Appl Gerontol. 2018 Mar;37(3):349-370. doi: 10.1177/0733464816642583. Epub 2016 Apr 17.

Person-Centered Care Practices in Long-Term Care in the Deep South: Consideration of Structural, Market, and Administrator Characteristics.

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1
1 The University of Alabama, Tuscaloosa, USA.

Abstract

The purpose of this study was to identify structural, market, and administrator factors of nursing homes that are related to the implementation of person-centered care. Administrators of Medicare/Medicaid-certified nursing homes in the Deep South were invited to complete a standardized survey about their facility and their perceptions and attitudes regarding person-centered care practices (PCCPs). Nursing home structural and market factors were obtained from public websites, and these data were matched with administrator data. Consistent with the resource-based theory of competitive advantage, nursing homes with greater resources and more competition were more likely to implement PCCPs. Implementation of person-centered care was also higher in nursing homes with administrators who perceived culture change implementation to be feasible in their facilities. Given that there is a link between resource availability and adoption of person-centered care, future research should investigate the cost of such innovations.

KEYWORDS:

culture change; long-term care; nursing home; person-centered

PMID:
27091880
DOI:
10.1177/0733464816642583
[Indexed for MEDLINE]

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