Quality of care and mortality among long-term care residents with dementia

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dc.contributor.author Reid, Robert Colin
dc.date.accessioned 2018-11-21T22:57:27Z
dc.date.available 2018-11-21T22:57:27Z
dc.date.copyright 2003 en_US
dc.date.issued 2018-11-21
dc.identifier.uri http://hdl.handle.net/1828/10345
dc.description.abstract This study assesses the effect of care quality on the risk of mortality among long-term care residents with dementia using secondary data. Data were drawn from the Intermediate Care Facility Project, conducted by the Centre on Aging, University of Victoria. The study involved 510 residents in 77 facilities throughout British Columbia. Mortality data were obtained from BC Vital Statistics for the twelve month observation period; which were collected as part of the Intermediate Care Facility Project. Care quality was measured along six dimensions: physical environment; non-use of physical restraints; non-use of pharmacological restraints; staff education and training; flexibility of care; and pre-admission and admission procedures. Data for these dimensions were collected at admission and again after twelve months. Statistical analyses involved cross-tabulations, bivariate correlations, logistic and Cox regressions. Substantively, the study found that resident characteristics such as age, gender and physical disability were more important than social causation variables (such as staff education and physical environment) in explaining risk of death. Among the social causative factors hypothesized to affect mortality, only facility use of physical restraints was important. Residents in facilities that used more types of physical restraints tended to be at higher risk of death than residents in facilities that used fewer or no physical restraints. It is concluded that more research into measurement of the social causative factors is required before making any definitive conclusions about what influences mortality among those persons with dementia who live in long-term care facilities in British Columbia. en_US
dc.language English eng
dc.language.iso en en_US
dc.rights Available to the World Wide Web en_US
dc.subject Dementia en_US
dc.subject Patients en_US
dc.subject British Columbia en_US
dc.subject Older people en_US
dc.subject Long-term care en_US
dc.title Quality of care and mortality among long-term care residents with dementia en_US
dc.type Thesis en_US
dc.contributor.supervisor Chappell, Neena L.
dc.degree.department Department of Sociology en_US
dc.degree.level Doctor of Philosophy Ph.D. en_US
dc.description.scholarlevel Graduate en_US

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