Community Presence and Nursing Home Quality of Care: The Ombudsman as a Complementary Role

Cherry, Ralph L.

doi:10.2307/2137371

Cited by 25 publications

(27 citation statements)

References 17 publications

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“…For instance, some ombudsman programs operate in a noncontest‐oriented manner with volunteers playing rather neutral roles as mediators and resource brokers (e.g., New York), while other programs employ a tougher patient rights model that involves volunteers taking on contest‐oriented roles as consumer advocates and watchdogs (e.g., Oregon) (Nelson, 1995). The ombudsmen are essentially external agents of quality assurance in LTC and, as such, provide an important community presence in LTC facilities (Cherry, 1993). Although ombudsman programs are implemented by both paid staff and volunteers, the vast majority of ombudsman program personnel are volunteers.…”

Section: Particiption In the Ltc Programmentioning

confidence: 99%

Ideological Extremism and Public Participation^*

Whitford¹,

Yates²,

Ochs

2006

Social Science Quarterly

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Objectives. Does aggregate ideological extremism reduce public participation? Does participation in governance processes fall when the social environment shifts to the extreme left or the extreme right of the political spectrum? Our main hypothesis is that the aggregate ideological orientation of the social environment constrains volunteerism in social regulatory programs. Methods. We test our hypothesis using a panel tobit analysis of data from the federal Long-Term Care Ombudsman Program. Results. Our model of public participation (expressed as volunteerism) shows that participation expands when the ideological position of a state's citizens is at the extreme left or right of the political continuum. We show the differential effects of two types of aggregate ideological orientation: of citizens and their political leaders. We further find that participation is greatest in states with extremely liberal citizen ideological positions. Conclusions. These findings paint a more complex picture of the effect of extremism in the social environment on public participation measured as production volunteerism. In sum, public participation is greatest when the social environment is ideologically polarized, and social regulation is strongest when volunteerism is greatest.

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Section: Particiption In the Ltc Programmentioning

confidence: 99%

Ideological Extremism and Public Participation^*

Whitford¹,

Yates²,

Ochs

2006

Social Science Quarterly

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“…5 24-32 There were two longitudinal studies in nursing homes with a follow up of several years, 33 34 and four studies with a post-test design only. [35][36][37][38] The number of participating nursing homes involved in the selected studies ranged from one to 268, with 13 studies of 1-16 nursing homes, two of 60 nursing homes, and six with more than 200 participating nursing homes.…”

Section: Research Design Of the Selected Studiesmentioning

confidence: 99%

“…One study investigated whether an ombudsman for residents in nursing homes would lead to better outcomes and more compliance with standards. 35 The researchers concluded that the presence of an ombudsman who can visit residents and resolve disputes on their behalf might improve the outcomes of care, but there were no indications of better compliance with standards. No control group was included in this study.…”

Section: Involvement Of Residentsmentioning

confidence: 99%

The effectiveness of quality systems in nursing homes: a review

Wagner¹

2001

Quality in Health Care

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The design of most of the studies meant that it was not possible to attribute the results entirely to the newly implemented quality system. As it is difficult in practice to design a randomised controlled study, future research into the effectiveness of quality systems should not only focus on selected correlates of quality, but should also include a qualitative and quantitative (multivariate and multilevel) approach. The methods used to measure quality need to be improved.

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“…Several outcome measures were highlighted in the Institute of Medicine report and have been routinely used to assess quality, including changes in residents' functional status or decubiti and the prevalence of physical restraints (cf. Cherry, 1993). Mukamel and Brower (1998) however point out that these measures can inappropriately classify a facility as either poor-quality or high-quality homes if not sufficiently adjusted for risk.…”

Section: Journal Of Elder Abuse and Neglectmentioning

confidence: 99%

Evaluation of the Impact of a Volunteer Ombudsman Program: The Rhode Island Experience

Filinson

2001

Journal of Elder Abuse & Neglect

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The research assessed the impact of a major innovation in the Long-Term Care Ombudsman Program that occurred in Rhode Island in 1997-the introduction of a volunteer component in which community members were trained and certified as advocates for residents in long-term care. Based on reports to the state ombudsman office, the findings indicated that the placement of volunteer ombudsman was associated with the generation of more complaints and more serious complaints about the facilities in which they were placed, some of which could not be resolved despite the greater intensity of interventions applied in these cases. Dat derived from nursing home inspections revealed a negative and significant correlation between the length of time a volunteer had been at a facility and the number of deficiencies.

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Community Presence and Nursing Home Quality of Care: The Ombudsman as a Complementary Role

Cited by 25 publications

References 17 publications

Ideological Extremism and Public Participation^*

Ideological Extremism and Public Participation^*

The effectiveness of quality systems in nursing homes: a review

Evaluation of the Impact of a Volunteer Ombudsman Program: The Rhode Island Experience

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Community Presence and Nursing Home Quality of Care: The Ombudsman as a Complementary Role

Cited by 25 publications

References 17 publications

Ideological Extremism and Public Participation*

Ideological Extremism and Public Participation*

The effectiveness of quality systems in nursing homes: a review

Evaluation of the Impact of a Volunteer Ombudsman Program: The Rhode Island Experience

Contact Info

Product

Resources

About

Ideological Extremism and Public Participation^*

Ideological Extremism and Public Participation^*