Nursing Home Selection: How Do Consumers Choose?

Volume II: Findings from the Website Content Review

by Lisa R. Shugarman, Rena Hasenfeld Garland

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The aging of the population points to the increasing need for useful and reliable information resources available to consumers about their health and social care options, including nursing homes. There are numerous resources available to the public to support the decision-making process through federal and state governments as well as private sources. However, there is some skepticism both about the ability of elders and their families to understand and translate that information into a decision, and about whether the information available is relevant to the decision-making process. While these resources are widely available through the Internet, phone, and in print, there is little information about if and how they are used to support the decision-making process. This report presents a review of a subset of the Internet sites that may be used to inform a consumer’s selection of a nursing facility. As part of this content review, the reviewed 29 websites. Thirteen websites were national in scope and sixteen were state specific.

Table of Contents

  • Chapter One


  • Chapter Two


  • Chapter Three


  • Chapter Four


  • Chapter Five

    Implications of Focus Group Findings for Internet Resources

  • Chapter Six


  • Appendix A

    Characteristics of Candidate States for Content Review and Focus Groups

  • Appendix B

    Websites Included in the Content Review

  • Appendix C

    Data Elements for Abstraction from Selected Websites

  • Appendix D

    Results of Accessibility Testing

  • Appendix E

    Summary of Website Content

  • Appendix F

    Quality Indicators and Quality Measures

  • Appendix G

    Summary Data on Website Functionality Analysis

  • Appendix H

    Website Description Summaries

The research described in this report was prepared for the Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation and conducted by RAND Health.

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