MARKET COMPETITION AND THE QUALITY OF NURSING-HOME CARE

被引：85

作者：

ZINN, JS

机构：

来源：

JOURNAL OF HEALTH POLITICS POLICY AND LAW | 1994年 / 19卷 / 03期

关键词：

D O I：

10.1215/03616878-19-3-555

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This article identifies factors influencing the degree of competition in the nursing home market. Using data obtained from the 1987 Medicare and Medicaid Automated Certification Survey, the relationship between competition and structural and process measures of quality (registered nurse staffing and resident care management practices) is estimated by weighted two-stage least squares regression. Results suggest that the quality effects of indicators of competition vary and that market concentration may not diminish quality-based competition. Proposals for nursing home reimbursement reform are evaluated with respect to their incentives for enhancing quality, particularly in the Medicaid market segment.

引用

页码：555 / 582

页数：28

共 78 条

[1]

BAUMOL WJ, 1982, AM ECON REV, V72, P1

[2] COMPETITION IN THE MARKET FOR NURSING-HOME CARE [J].