THE EFFECTS OF OWNERSHIP, OPERATING ENVIRONMENT, AND STRATEGIC CHOICES ON NURSING-HOME EFFICIENCY

被引：76

作者：

ROSKO, MD

CHILINGERIAN, JA

ZINN, JS

AARONSON, WE

机构：

[1] BRANDEIS UNIV,HELLER SCH ADV STUDIES SOCIAL WELFARE POLICY,WALTHAM,MA 02254

[2] TEMPLE UNIV,DEPT HLTH ADM,PHILADELPHIA,PA 19122

来源：

MEDICAL CARE | 1995年 / 33卷 / 10期

关键词：

EFFICIENCY; NURSING HOMES; LONG-TERM CARE; QUALITY OF NURSING HOME CARE; DATA ENVELOPMENT ANALYSIS;

D O I：

10.1097/00005650-199510000-00003

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 reports on a study of the labor efficiency of 461 nursing homes located in Pennsylvania. Data envelopment analysis was used to estimate efficiency scores. Tobit equations were estimated for the entire sample and for subsamples consisting of for-profit (FP) and not-for-profit (NFP) nursing homes. The authors found that the major factors explaining efficiency were managerial and environmental characteristics such as ownership, occupancy rate, size, payment source, wage rate, and per capita income, rather than quality characteristics of nursing homes. Analysis of the FP and NFP subsamples suggests that many NFP homes may respond to environmental pressures by increasing their efficiency, whereas FP homes tend to operate at a high level of efficiency irrespective of environmental and regulatory pressures.

引用

页码：1001 / 1021

页数：21

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