Structure-process-outcome: a causal model for quality in nursing homes

Abstract

In this paper, we explore the correlation structure between some indicators of quality in nursing homes. These indicators include Structure (Staff and Faculty), Process (Social Care, Medical Care, and Resident involvement), and Outcome indicators (Medical Outcome, Social Outcome, and Organizational Performance). Using path analysis, a causal model is also hypothesized and empirically tested based on these indicators and on data collected for 104 nursing homes in Wisconsin. This causal model constitutes a basis for formulating quality improvement strategies.