Innovation in Nursing Homes
The GerontologistPublished 1 April 2001Open access
Nicholas G. Castle
Citations94
SJR quartileQ1
SJR score1.82
SNIP1.88
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Organizational and market characteristics of nursing homes affect their propensity toward early adoption of innovations, and four market factors that increase the likelihood of early innovation adoption are larger bed size, chain membership, and high levels of private-pay residents.
Abstract
This analysis shows that organizational and market characteristics of nursing homes affect their propensity toward early adoption of innovations. Some of the results may be useful for nursing home administrators and policy makers attempting to promote innovation.
Keywords
Social SciencesHealth Professions
Journal of the Royal Statistical Society Series B (Statistical Methodology)Regression Models and Life-Tables
39,259 Citations1972D. R. Cox
BiometrikaLongitudinal data analysis using generalized linear models
18,123 Citations1986Kung‐Yee Liang, Scott L. Zeger
Journal of the American Statistical AssociationStatistical Analysis With Missing Data
17,489 Citations1989Maureen Lahiff, Roderick J. A. Little +1 more
External Control of Organizations: Resource Dependence Perspective
14,343 Citations2011
American Journal of SociologyThe Population Ecology of Organizations
7,405 Citations1977Michael T. Hannan, John H. Freeman
Academy of Management JournalORGANIZATIONAL INNOVATION: A META-ANALYSIS OF EFFECTS OF DETERMINANTS AND MODERATORS.
6,409 Citations1991Fariborz Damanpour
Academy of Management JournalOrganizational Innovation: The Influence of Individual, Organizational, and Contextual Factors on Hospital Adoption of Technological and Administrative Innovations.
2,335 Citations1981John R. Kimberly, Michael J. Evanisko
Individual, organizational, and contextual variables were found to be much better predictors of hospital adoption of technological innovations than of administrative innovations.
Academy of Management ReviewManagerial Fads and Fashions: The Diffusion and Rejection of Innovations
1,970 Citations1991Eric Abrahamson
Journal of Management StudiesORGANIZATIONAL INNOVATION: REVIEW, CRITIQUE AND SUGGESTED RESEARCH DIRECTIONS*
1,418 Citations1994Richard Wolfe
Organization ScienceTechnology Diffusion and Organizational Learning: The Case of Business Computing
1,408 Citations1992Paul Attewell
The utility of this approach is shown through an empirical study of the diffusion of business computing in the United States, reporting survey and ethnographic data on the spread of business Computing, on the learning processes and skills required, and on the changing institutional practices that facilitated diffusion.
Academy of Management JournalORGANIZATIONAL ASSIMILATION OF INNOVATIONS: A MULTILEVEL CONTEXTUAL ANALYSIS.
784 Citations1988Anne Meyer, James B. Goes
PubMedAssessing the impact of continuous quality improvement/total quality management: concept versus implementation.
689 Citations1995Stephen M. Shortell, J. L. O'Brien +5 more
A participative, flexible, risk-taking organizational culture was significantly related to quality improvement implementation and was positively associated with greater perceived patient outcomes and human resource development.
Statistics in MedicineAn overview of methods for the analysis of longitudinal data
686 Citations1992Scott L. Zeger, Kung‐Yee Liang
Three approaches, marginal, transition and random effects models, are presented with emphasis on the distinct interpretations of their coefficients in the discrete data case, and generalized estimating equations for inferences about marginal models are reviewed.
Administrative Science QuarterlyElite Values Versus Organizational Structure in Predicting Innovation
571 Citations1973Jerald Hage, Robert D. Dewar
Management ScienceAn Examination of “Push-Pull” Theory Applied to Process Innovation in Knowledge Work
524 Citations1984Robert W. Zmud
Administrative Science QuarterlyThe Scarcity-Munificence Component of Organizational Environments and The Commission of Illegal Acts
513 Citations1975Barry M. Staw, Eugene Szwajkowski
Journal of Marketing ResearchLogit Modeling: Practical Applications
481 Citations1993Pradeep K. Chintagunta, Alfred DeMaris
The GerontologistImproving the Quality of Care in Nursing Homes
389 Citations1987Heather Shore, David Zimmerman
When you read more every page of this improving the quality of care in nursing homes, what you will obtain is something great.
American Journal of Public HealthA study of antipsychotic drug use in nursing homes: epidemiologic evidence suggesting misuse.
300 Citations1980Wayne A. Ray, Charles F. Federspiel +1 more
The review of prescriptions for Medicaid patients residing continuously for one year in 173 Tennessee nursing homes provides epidemiologic evidence suggesting misuse of antipsychotic drugs in nursing homes and illustrates the need for investigations of techniques for patient management in Nursing homes which rely less upon psychtropic drugs.
Journal of Aging and HealthCharacteristics of Nursing Homes that Affect Resident Outcomes
248 Citations1991William D. Spector, Hitomi Adrianna Takada
Results suggest that higher staff levels and lower RN turnover were related to functional improvement, and facilities with high catheter use, low rates of skin care, and low participation in organized activities were associated with negative outcomes.
Medical CareFacility Characteristics Associated With Hospitalization of Nursing Home Residents
217 Citations1999Orna Intrator, Nicholas G. Castle +1 more
It is found that homes with special care units, more physicians, and any physician extenders (nurse practitioners or physician assistants) were less likely to hospitalize their residents and Medicare HMOs should consider the capacity of nursing facilities to limit hospital admissions.
PubMedThe impact of market and organizational characteristics on nursing care facility service innovation: a resource dependency perspective.
217 Citations1996Jane Banaszak‐Holl, Jacqueline S. Zinn +1 more
Investigating both the organizational and environmental factors associated with an emerging health care service delivery innovation, the provision of specialty care in designated units in nursing care facilities finds results indicate that facilities with fewer Medicare patients are more likely to operate a dedicated Alzheimer's Disease or subacute care unit.
Academy of Management JournalOrganizational Assimilation of Innovations: A Multilevel Contextual Analysis
174 Citations1988Alan D. Meyer, James B. Goes
The Journal of Human ResourcesExcess Demand, the Percentage of Medicaid Patients, and the Quality of Nursing Home Care
148 Citations1988John A. Nyman
This paper tests two hypotheses about the relationship between poor quality and Medicaid patients in the nursing home and the reimbursement rates paid for Medicaid patients using Wisconsin data from 1979 and finds evidence favoring the former.
Medical Care Research and ReviewThe Regulation and Enforcement of Federal Nursing Home Standards, 1991-1997
116 Citations1999Charlene Harrington, Helen Carrillo
The discussion considers possible explanations for the decline in deficiencies, including whether the quality of care in nursing homes has improved or whether the enforcement process has gradually been weakened.
PubMedEffects of market position and competition on rural hospital closures.
96 Citations1997Melissa J. Succi, Shoou Yih D Lee +1 more
The findings suggest that rural hospitals can reduce competitive pressures through differentiation and that accurate measures of competition in geographically defined market areas are critical for understanding competitive dynamics among rural hospitals.
Statistics in MedicineEmpirical comparisons of proportional hazards and logistic regression models
93 Citations1989Deborah D. Ingram, Joel C. Kleinman
The GerontologistCharacteristics of Nursing Homes That Are Restraint Free
78 Citations1998Nicholas G. Castle, Barry S. Fogel
Using nationally representative data from the On-line Survey and Certification of Automated Records (OSCAR) and the Area Resource File (ARF), the differences between restraint free and non-restraint free nursing homes were examined.
The GerontologistTop Management Team Characteristics and Innovation in Nursing Homes
57 Citations1997Nicholas G. Castle, Jane Banaszak‐Holl
Examining how the demographic characteristics of the top management team in 236 nursing homes can affect the adoption of innovations finds a greater association between these demographic factors and innovation than the results for top managers of nursing homes belonging to a chain.
The GerontologistRetention of Administrators in Nursing Homes: What Can Management Do?
55 Citations1998Deepak Singh, Robert C. Schwab
Investigation of the factors that could lead to greater administrator retention show that higher retention is observed when administrators are allowed to function independently, are involved in decision making, are treated fairly, and are given reasonable goals to achieve.
PubMedStructural and operational factors affecting quality of patient care in nursing homes.
53 Citations1981V. L. Greene, Deborah J. Monahan
Findings of policy interest are that, other things equal, for-profit facilities provide lower levels of care than do nonprofit facilities; and distantly headquartered chain operations provide lower care levels than locally owned facilities.
The Journals of Gerontology Series BDeficiency citations for physical restraint use in nursing homes
50 Citations2000Nicholas G. Castle
Which structure and process factors of nursing homes are associated with a deficiency citation for restraint use and which could be used to develop a specific program to target facilities most commonly found to have inappropriate restraint use are investigated.
PubMedThe effects of ownership and ownership change on nursing home industry costs.
46 Citations1996J S Holmes
Findings from this study indicate that while facility sales increase per diem plant costs, they do not result in increased spending for direct patient care, suggesting that state Medicaid programs may be indirectly subsidizing facility sales with no accompanying increase in expenditures for patient care.
PubMedFive priority areas for research on long-term care.
46 Citations1997Robert H. Binstock, William D. Spector
While the population needing long-term care is projected to grow substantially, "private-pay" prices for long- term care are high and rising fast, and many older persons cannot afford these private-pay rates.
Medical CareMeasuring Hospital Competition
42 Citations1988Stephen White, Thomas N. Chirikos
It is illustrated that biased inferences about the effects of market competition on the costs of hospital care may result unless the values of the Herfindahl Index are treated endogenously in hospital cost models.
Journal of Health EconomicsThe diffusion of innovations in hospitals
37 Citations1985Robert H. Lee, Donald M. Waldman
Reanalysis of data for five innovations using an estimator with desirable statistical properties results in a considerably revised estimate of the impact of prospective reimbursement on diffusion.
PubMedMedicaid payment policies for nursing home care: a national survey.
35 Citations1991Robert J. Buchanan, R P Madel +1 more
This research gives a comprehensive overview of the nursing home payment methodologies used by each State Medicaid program, and discusses the impact these different methodologies have on program cost containment, quality, and recipient access.
Social Science & MedicineModeling hospital closure relative to organizational theory: The applicability of ecology theory's environmental determinism and adaptation perspectives
20 Citations1988Blair Gifford, Ross M.Mullner
The writers suggest that the more community sponsored a hospital is, the less likely its survival will hinge solely on standard environmental selection criteria, and that the ability of a hospital's administration to correctly adapt to environmental fluctuations is critical, especially in today's turbulent health care delivery environment in the United States.
The GerontologistHospital Provision of Institutional Long-Term Care
4 Citations2000Naoko Muramatsu, Shoou-Yih Daniel Lee +1 more
The pattern of long-term care provision was significantly associated with hospitals' mission and their internal and external resources and the importance of considering hospital and community characteristics in predicting the impact of policy changes and in envisioning the role of hospitals in long- term care is suggested.
PubMedSurvey. Long-term care chains retrench to stem losses.
3 Citations1990Kim H
Nursing home chains began closing beds or converting them to other uses, a reflection of continued problems in the industry, but some companies prospered despite difficulties.
Gerontology & Geriatrics EducationKnowledge Utilization in Gerontology:
3 Citations1986Carnot E. Nelson, Larry C. Mullins
How findings from this field of knowledge utilization can be applied to gerontology and, more specifically, to long-term care is indicated.
