How is quality being monitored in Australian residential aged care facilities? A narrative review

O'Reilly M., Courtney M. and Edwards H. (2007) How is quality being monitored in Australian residential aged care facilities? A narrative review. International Journal for Quality in Health Care, 19 3: 177-182. doi:10.1093/intqhc/mzm002


Author O'Reilly M.
Courtney M.
Edwards H.
Title How is quality being monitored in Australian residential aged care facilities? A narrative review
Journal name International Journal for Quality in Health Care   Check publisher's open access policy
ISSN 1353-4505
Publication date 2007
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1093/intqhc/mzm002
Volume 19
Issue 3
Start page 177
End page 182
Total pages 6
Subject 2739 Public Health, Environmental and Occupational Health
2900 Nursing
3306 Health (social science)
3600 Health Professions
Abstract Background. 'Quality of Care' is a difficult concept to measure, particularly within the context of residential aged care, which involves lifestyle issues as much as health issues. Recent years have seen an increased focus on quality within residential aged care. Yet, Australia does not have a structured and comprehensive quality monitoring system within this sector. Problem. While the Australian Accreditation Standards have been credited with contributing to improving care since their introduction in 1998, they are only considered to represent minimum (rather than optimal) standards of quality, and they do not sufficiently focus on clinical outcomes. Further, individual facilities might only be assessed against these standards every 3 years; within that time, there is much scope for quality variations to go unnoticed. Implications. This paper contends that collecting and analysing comprehensive clinical data from aged care facility residents constitutes an essential step in the process of monitoring quality in this environment. Such data can be used to formulate indicators of quality, that is, to create markers to highlight areas of clinical care that might be of questionable (or exceptional) quality, enabling more detailed investigations of care practices within a facility. Conclusions. The above processes could thus fill the current gap in quality monitoring that exists within the Australian residential aged care system, thus ensuring the provision of best-practice care to this vulnerable population.
Keyword Aged
Outcome and process assessment
Quality indicators
Quality of care
Residential facilities
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: Scopus Import
 
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Created: Tue, 26 Nov 2013, 19:17:44 EST by System User