What question did this study set out to answer?

To identify and quantify the sources of urban-rural disparities in facility-acquired contracture rates across U.S. nursing homes.

June 7, 2012Health Services ResearchOpen Access

The Urban‐Rural Disparity in Nursing Home Quality Indicators: The Case of Facility‐Acquired Contractures

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Authors

JBJohn R. BowblisMiami University HMHongdao MengUniversity of South Florida KHKathryn HyerUniversity of South Florida

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Implication

Observational study reveals higher contracture rates in rural nursing homes, indicating that facility structure and funding drive care quality gaps more than staffing levels.

Key Points

To identify and quantify the sources of urban-rural disparities in facility-acquired contracture rates across U.S. nursing homes.
Analyzed U.S. nursing home survey inspection data linked with Rural-Urban Commuting Area Codes from 1999 to 2008 across urban, micropolitan, small rural town, and isolated small rural town tiers.
Estimated facility-level linear regressions and applied Blinder-Oaxaca decomposition to quantify how much of the disparity stems from staffing, resident case-mix, and facility operational characteristics.
Rural nursing homes demonstrated consistently higher rates of facility-acquired contractures compared to urban facilities.
Observable characteristics accounted for roughly 50% of the urban-rural disparity, with facility structure and operational factors explaining 10% to 22%, resident case-mix explaining 6% to 8%, and staffing levels explaining less than 5%.

Cite This Study

Bowblis et al. (2012) studied this question.

synapsesocial.com/papers/6a0fbab82badbc352afe9dca https://doi.org/10.1111/j.1475-6773.2012.01431.x

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Implication

Observational study reveals higher contracture rates in rural nursing homes, indicating that facility structure and funding drive care quality gaps more than staffing levels.

The Urban‐Rural Disparity in Nursing Home Quality Indicators: The Case of Facility‐Acquired Contractures

Discussion

Member takes

Implication

Key Points

Cite This Study

The Urban‐Rural Disparity in Nursing Home Quality Indicators: The Case of Facility‐Acquired Contractures

Discussion

Member takes

Implication

Key Points

Cite This Study

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