Oral health in long-term care: The implications of organizational culture |
| |
| Institution: | 1. Department of Orthopaedic Surgery, Kantonsspital Uri (KSU), CH-6460 Altdorf, Switzerland;2. Department of Orthopaedic Surgery, IˈHFR Fribourg, Hôpital Cantonal, CH-1700 Fribourg, Switzerland;3. Department of Plastic and Aesthetic Surgery, Dietrich-Bonhoeffer-Klinikum, Universität Greifswald, 17033 Neubrandenburg, Germany;4. Balgrist University Hospital, CH 8008 Zurich, Switzerland;1. Ohio Musculoskeletal and Neurological Institute, Ohio University, Athens, OH 45701, United States;2. Department of Biomedical Sciences, Ohio University, Athens, OH 45701, United States;3. Department of Mechanical Engineering, Ohio University, Athens, OH 45701, United States;4. School of Rehabilitation and Communication Sciences, Ohio University, Athens, OH 45701, United States;5. Department of Geriatric Medicine, Ohio University, Athens, OH 45701, United States;1. Department of Pediatric Cardiology, University Children''s Hospital Tuebingen;2. Pediatric Gastroenterology and Hepatology, University Children''s Hospital Tuebingen;3. Department of Pediatric Surgery and Pediatric Urology, University Children''s Hospital Tuebingen;4. Department of Clinical Epidemiology and Applied Biometry, University of Tuebingen;5. Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen |
| |
| Abstract: | When an investigation designed to compare extant models of delivering oral health and dental services to the institutionalized elderly revealed that structural variables explained very little of the difference between effective and ineffective programs, secondary analytic techniques were employed to consider alternative explanations. The original study was a program evaluation based on a comparative case study of 12 long-term care (LTC) facilities. Data for each case included interviews with administrators, care providers, family members, and residents, administrative documentation, and clinical measures of oral health from the residents. The secondary analysis revealed the mechanisms through which the organizational context of each facility influenced the effectiveness of the oral health services. In addition, it revealed how administrative and leadership issues influenced the quality of care. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
