Title

The Measurement Of Nursing Home Quality: Multilevel Confirmatory Factor Analysis Of Panel Data

Keywords

Multilevel confirmatory factor analysis; Nursing home; Quality

Abstract

This study examined the validity of a measurement model of nursing home quality by using multilevel confirmatory factor analysis. Based on Mullan and Harrington's (2001) facility-level quality measurement model, a two-level analysis (facility and state) of the measurement model were performed. Two research questions were asked: (1) Can the measurement model developed at the facility-level be applied to state-level nursing home quality measurement? (2) Is the measurement model of nursing home quality stable over time? Panel data of 1997 and 2001, from the national OSCAR database, were used to test the assumptions. The results show that the state-level measurement model fits the data better than the facility-level model does. When the indicator "assessment" was removed from the state-level measurement model, a better-fitted measurement model was found. The two-level measurement model is relatively stable over time, demonstrating the construct validity of this measurement model. © 2005 Springer Science+Business Media, Inc.

Publication Date

8-1-2005

Publication Title

Journal of Medical Systems

Volume

29

Issue

4

Number of Pages

401-411

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1007/s10916-005-5898-6

Socpus ID

23944522877 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/23944522877

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