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40 enhance in reimbursement didn't have a statistically vital impact on quality as measured by the medicine error price, feeding tube use, catheter tube use, and physical restraint use measures. Though these measures were not significantly completely different from zero, high quality was positively associated with Medicaid reimbursement for the medication error rate, feeding tube, and catheter tube use measures. Though reimbursement was positively associated with high quality in all instances besides the feeding tubes measure, the procedural measures have been as soon as once more not statistically vital from zero. Some states already mandate sick go away, and a recent examine discovered that the adoption of such laws lowered instances of influenza by 11% in their first year. As a best apply, we urge medical doctors providing digital care to stay vigilant concerning the safe limits of know-how and overview instances at a very excessive level to ensure high quality. On this case, a state-particular issue could also be driving both the Medicaid reimbursement decisions and the extent of nursing residence quality throughout the state. The empirical evidence from the nursing house literature in support of each of those three explanations because the source of low-quality care is inconclusive, and naturally, could also be shifting over time.
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