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Future Directions for Residential Long-Term Care Health Services Research

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Table 2. Measuring Long-Term Care Quality (Quality Dimensions)

Quality of Care



  • Basic activity functioning (Activities of Daily Living [ADLs]).
  • Mental health (behavior disorders, cognitive change, depression, anxiety).
  • Strength, balance, and endurance (preventing falls).
  • Mobility (ability to walk, walk up stairs).


  • Weight loss, dehydration.


  • Pneumonia.
  • Septicemia.
  • Urinary tract infections.

Geriatric Syndromes

  • Pressure ulcers.
  • Incontinence.
  • Contractures.
  • Sleep disturbances.


  • Pain control.

Preventable Complications

  • Preventable hospitalization, rehospitalization, and emergency room use.
  • Medical/medication complications.


  • Autonomy, dignity, privacy.
  • Meeting life preferences.

Quality of Life


  • Social interaction in and outside of facility.


  • Safety/abuse and neglect.

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