DO FOR-PROFIT AND NOT-FOR-PROFIT NURSING-HOMES BEHAVE DIFFERENTLY

被引:121
作者
AARONSON, WE [1 ]
ZINN, JS [1 ]
ROSKO, MD [1 ]
机构
[1] WIDENER UNIV, DEPT HLTH & MED SERV ADM, CHESTER, PA 19013 USA
关键词
OWNERSHIP; CARE STAFFING; QUALITY; ADVERSE OUTCOMES; CASE MIX; PAYER MIX;
D O I
10.1093/geront/34.6.775
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
The purpose of this study was to examine behavioral differences between for-profit (FP) and not-for-profit (NFP) nursing homes. Previous studies have failed to establish consistent behavioral differences. This study uses a simultaneous equation model to control for potential endogeneity among system variables, with model parameters estimated using 3SLS. the study provides evidence that NFPs provide significantly higher quality of care to Medicaid beneficiaries and to self-pay residents than do FPs, as evidenced by better staffing and better outcomes among nursing homes with residents at higher risk for adverse outcomes.
引用
收藏
页码:775 / 786
页数:12
相关论文
共 33 条
[1]  
*AM ASS HOM AG, 1993, SOC ACC PROGR
[2]  
BISHOP CE, 1991, INQUIRY-J HEALTH CAR, V28, P345
[3]   THE EPIDEMIOLOGY AND NATURAL-HISTORY OF PRESSURE ULCERS IN ELDERLY NURSING-HOME RESIDENTS [J].
BRANDEIS, GH ;
MORRIS, JN ;
NASH, DJ ;
LIPSITZ, LA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (22) :2905-2909
[4]  
BUCHANAN R, 1992, J HLTH ADM ED, V10, P621
[5]  
COHEN JW, 1990, INQUIRY-J HEALTH CAR, V27, P183
[6]   THE FINANCIAL CAPACITY OF THE ELDERLY TO INSURE FOR LONG-TERM CARE [J].
COHEN, MA ;
TELL, EJ ;
GREENBERG, JN ;
WALLACK, SS .
GERONTOLOGIST, 1987, 27 (04) :494-502
[7]   DETERMINANTS OF TRANSITORY AND PERMANENT NURSING-HOME ADMISSIONS [J].
COUGHLIN, TA ;
MCBRIDE, TD ;
LIU, K .
MEDICAL CARE, 1990, 28 (07) :616-631
[8]  
Davis M A, 1991, Med Care Rev, V48, P129, DOI 10.1177/002570879104800202
[9]   EVALUATING QUALITY OF MEDICAL CARE [J].
DONABEDIAN, A .
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY, 1966, 44 (03) :166-206
[10]   TYING DOWN THE ELDERLY - A REVIEW OF THE LITERATURE ON PHYSICAL RESTRAINT [J].
EVANS, LK ;
STRUMPF, NE .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1989, 37 (01) :65-74