Improving the Quality of Care of Long-Stay Nursing Home Residents in France.

The aim of the Impact d'une démarche QUAlité sur l'évolution des pratiques et le déclin fonctionnel des Résidents en Établissement d'hébergement pour personnes âgées dépendantes (IQUARE) study was to examine the effects of a global intervention comprising professional support and education for nursing home (NH) staff on quality indicators (QIs) and functional decline and emergency department (ED) transfers of residents. One hundred seventy-five NHs in France (a total of 6,275 residents randomly selected from NHs) volunteered and were enrolled in a nonrandomized controlled multicenter individually customize trial with 18-month follow-up. NHs were allocated to a quality audit and feedback intervention (control group: 90 NHs, 3,258 residents) or to the quality audit and feedback intervention plus collaborative work meetings between a hospital geriatrician and NH staff (experimental group: 85 NHs, 3,017 residents).

[Use of medical and administrative databases to measure social health inequalities].

Objective: The ability to measure social health inequalities is a prerequisite to the implementation of local policies designed to reduce such inequalities. The absence of individual socioeconomic data in medical and administrative databases does not allow direct evaluation of those inequalities. The objective of this study is to propose a method of measurement of social health inequalities from national health insurance databases and a validated deprivation index.

Knowledge of HIV and hepatitis B and C status among people living in extreme poverty in France, in 2012.

Objective: "Médecins du Monde" healthcare centers receive individuals living in extremely precarious conditions for primary health care; 94% of these are foreigners. These medical consultations are an opportunity to discuss their serological status and to offer them screening tests.

Patients And Method: Two standardized questionnaires were implemented in all healthcare centers in 2000.

The nursing home effect: a case study of residents with potential dementia and emergency department visits.

Objectives: The burden of potential dementia cases without formal diagnosis on the health care system is almost unknown. This study examined the impact of potential dementia without formal diagnosis on the rate of visits to hospital emergency department (ED) of nursing home (NH) residents.

Design: Cross-sectional study.

A multicentric individually-tailored controlled trial of education and professional support to nursing home staff: research protocol and baseline data of the IQUARE study.

Background: Whilst the number of people living in nursing homes (NH) is expected to rise, research on NH quality is scarce. The purpose of this article is to describe the research protocol of the IQUARE study and to present its baseline data.

Methods And Design: IQUARE is a 18-month multicentric individually-tailored controlled trial of education and professional support to NH staff.