Market Structure, Competition from Assisted Living Facilities, and Quality in the Nursing Home Industry

被引：27

作者：

Bowblis, John R. ^{[1
,2
]}

机构：

[1] Miami Univ, Dept Econ, Oxford, OH 45056 USA

[2] Miami Univ, Scripps Gerontol Ctr, Oxford, OH 45056 USA

来源：

APPLIED ECONOMIC PERSPECTIVES AND POLICY | 2012年 / 34卷 / 02期

关键词：

market structure; assisted livings facilities; nursing homes; long-term care; quality; I11; L22; L11; PRICE-COMPETITION; CARE; ADMISSION; PAYMENT;

D O I：

10.1093/aepp/pps006

中图分类号：

F3 [农业经济];

学科分类号：

0202 ; 020205 ; 1203 ;

摘要：

The effort to provide more long-term care in community-based settings has caused an expansion in the supply of assisted living beds, yet little is known about the interrelationship between this expansion and nursing home quality. This paper studies data from the State of Ohio to determine if nursing home market structure and the expansion in the supply of assisted living beds impact the quality of care provided by nursing homes. The findings suggest that nursing home quality can be lower in markets with a greater supply of nursing homes. Further, assisted living facility market structure is found to have a mixed effect on nursing home quality. The results of this paper suggest a need for a more integrated approach to regulating long-term care providers.

引用

页码：238 / 257

页数：20

共 38 条

[1] Where are the missing elders? The decline in nursing home use, 1985 and 1995 [J].

Bishop, CE .

HEALTH AFFAIRS, 1999, 18 (04) :146-155

[2] Geographic Market Definition: The Case of Medicare-Reimbursed Skilled Nursing Facility Care [J].

Bowblis, John R. ;

North, Phillip .

INQUIRY-THE JOURNAL OF HEALTH CARE ORGANIZATION PROVISION AND FINANCING, 2011, 48 (02) :138-154

[3] OWNERSHIP CONVERSION AND CLOSURE IN THE NURSING HOME INDUSTRY [J].

Bowblis, John R. .

HEALTH ECONOMICS, 2011, 20 (06) :631-644

[4]

Bresnahan T.F, 1989, HDB IND ORG, V2

[5]

Brodie M., 2001, National Survey on Nursing Homes

[6] Factor substitution in nursing homes [J].

Cawley, J ;

Grabowski, DC ;

Hirth, RA .

JOURNAL OF HEALTH ECONOMICS, 2006, 25 (02) :234-247

[7]

Centers for Medicare and Medicaid Services (CMS), 2010, STAT OP MAN

[8] The effect of local competition on admission prices in the US motion picture exhibition market [J].

Davis, P .

JOURNAL OF LAW & ECONOMICS, 2005, 48 (02) :677-708

[9] ENDOGENEITY IN THE CONCENTRATION-PRICE RELATIONSHIP - CAUSES, CONSEQUENCES, AND CURES [J].

EVANS, WN ;

FROEB, LM ;

WERDEN, GJ .

JOURNAL OF INDUSTRIAL ECONOMICS, 1993, 41 (04) :431-438

[10]

GABSZEWICZ JJ, 1979, J ECON THEORY, V20, P340

← 1 2 3 4 →