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Which Residential Care Facilities Are Delivering Inadequate Care? A Simple Case-Finding Questionnaire

Published online by Cambridge University Press:  29 November 2010

Marie-France Dubois ,
Gina Bravo  and
Michèle Charpentier
Marie-France Dubois
Affiliation:
Sherbrooke University Geriatric Institute
Gina Bravo
Affiliation:
Sherbrooke University Geriatric Institute
Michèle Charpentier
Affiliation:
Sherbrooke University Geriatric Institute
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Abstract

The aim of this study was to develop a case-finding tool enabling the identification of residential care facilities that provide inadequate care to impaired older persons and assess its validity. This was done using data from a recent study that involved 88 homes for the aged located in the Eastern Townships of Quebec. For that study, facility managers were interviewed for information about themselves and their residence, while quality of care was assessed with the QUALCAEE Scale for each of 301 residents of the selected homes. Multivariate regression analyses helped develop a short questionnaire that can be completed during a telephone interview with the facility manager. With 85 per cent sensitivity and 65 per cent specificity in identifying homes delivering inadequate care, this case-finding questionnaire is simple, inexpensive and shows good evidence of validity.

Résumé

L'objectif de cette étude était de développer un outil de repérage des ressources d'hébergement qui dispensent des soins inadéquate à leur clientèle âgée en perte d'autonomie et d'en évaluer la validité. Elle a été réalisée à partir des données d'une étude récente menée auprès de 88 résidences pour personnes âgées en Estrie (province de Québec). Les caractéristiques générales des milieux étaient recueülies via une entrevue avec les responsables et la qualité des soins offerts aux résidants (n = 301) était évaluée à l'aide de l'échelle QUALCAEE. Des analyses de régression multivariées ont permis l'élaboration d'un court questionnaire pouvant être complété lors d'un entretien téléphonique avec le responsable. Ce questionnaire constitue un outil de repérage simple et peu dispendieux pour identifier les milieux dispensant des soins inadéquate. De plus, sa sensibilité de 85 pour cent et sa spécificité de 65 pour cent suggèrent une bonne validité.

Keywords

Inadequate CareCase-FindingResidential Care FacilitiesQuestionnaireSensitivitySpecificity.Soins inadéquaterepérageressources d'hébergementquestionnairesensibilitéspécificité.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 20 , Issue 3 , Automne/Fall 2001 , pp. 339 - 356
Copyright
Copyright © Canadian Association on Gerontology 2001

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