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
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