Variations in user-oriented elderly care: a multilevel approach

作者: Ali Kazemi , Petri Kajonius

DOI: 10.1108/IJQSS-06-2016-0045

关键词: Survey data collectionCustomer satisfactionUnlicensed assistive personnelPrimary nursingPsychologyHealth careMultilevel modelVariance (land use)GerontologyWelfare

摘要: Purpose National Board of Health and Welfare claims that the quality elderly care services differ considerably between municipalities in Sweden. This study aims to analyze what extent these variations can be accounted for by older person’s municipality affiliation (i.e. receiving a certain municipality). Design/methodology/approach Addressing this issue, national survey data from 78,538 respondents Sweden were analyzed using multilevel modeling (MLM). Findings The results showed only marginally explained variance satisfaction with care, i.e. its larger within than municipalities. Instead, user-oriented variation care. Specifically, way workers behave toward person proved much more crucial affiliation. Moreover, random effects analyses revealed on varied across Care setting home or nursing home) variance. Practical implications Developing should start primarily discussed at interpersonal level, not, as is customary, level. Originality/value The present research first kind quantitatively investigate sources perceived Swedish MLM.

参考文章(29)
Ali Kazemi, Petri J. Kajonius, Rankning av Sveriges kommuners äldreomsorg i Öppna jämförelser Socialmedicinsk tidskrift. ,vol. 91, pp. 323- 331 ,(2014)
Spss, Ibm Using, CA Oaks, AP Field, Discovering Statistics (4th Edition ed. ,(2013)
Ali Kazemi, Petri J. Kajonius, User-oriented elderly care: a validation study in two different settings using observational data Quality in Ageing and Older Adults. ,vol. 16, pp. 140- 152 ,(2015) , 10.1108/QAOA-08-2014-0013
Toon Kuppens, Vincent Y. Yzerbyt, Predicting variability: Using multilevel modelling to assess differences in variance European Journal of Social Psychology. ,vol. 44, pp. 691- 700 ,(2014) , 10.1002/EJSP.2028
A. Donabedian, The quality of care. How can it be assessed? JAMA: The Journal of the American Medical Association. ,vol. 260, pp. 1743- 1748 ,(1988) , 10.1001/JAMA.260.12.1743
M. Stewart, Towards a global definition of patient centred care. BMJ. ,vol. 322, pp. 444- 445 ,(2001) , 10.1136/BMJ.322.7284.444
V TELLISNAYAK, A person-centered workplace: the foundation for person-centered caregiving in long-term care. Journal of the American Medical Directors Association. ,vol. 8, pp. 46- 54 ,(2007) , 10.1016/J.JAMDA.2006.09.009
Annette F.J. Custers, Gerben J. Westerhof, Yolande Kuin, Debby L. Gerritsen, J. Marianne Riksen-Walraven, Relatedness, autonomy, and competence in the caring relationship: The perspective of nursing home residents Journal of Aging Studies. ,vol. 26, pp. 319- 326 ,(2012) , 10.1016/J.JAGING.2012.02.005
Tal Yarkoni, The Abbreviation of Personality, or how to Measure 200 Personality Scales with 200 Items. Journal of Research in Personality. ,vol. 44, pp. 180- 198 ,(2010) , 10.1016/J.JRP.2010.01.002
Brendan McCormack, Person‐centredness in gerontological nursing: an overview of the literature Journal of Clinical Nursing. ,vol. 13, pp. 31- 38 ,(2004) , 10.1111/J.1365-2702.2004.00924.X