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Journal of Applied Gerontology
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Inter-SMSA Variation in Nursing Home Staffing and Resident Care Management Practices

Jacqueline S. Zinn

Temple University

In this study, data from the 1987 Medicare and Medicaid Automated Certification Survey (MMACS) is analyzed to determine the extent to which nursing home staffing and resident care management practices, such as urethral catheterization and physical restraint use, vary across a sample of 10 standard metropolitan statistical areas (SMSAs). After controlling for influential differences in case mix related to facility characteristics and the functional severity of the nursing home population at risk, significant SMSA effects associated with staffing and practice outcome measures were found by weighted least squares regression. Potential sources of variation related to local market conditions and state nursing home policy are considered.

Journal of Applied Gerontology, Vol. 12, No. 2, 206-224 (1993)
DOI: 10.1177/073346489301200206
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