Market Competition and the Quality of Nursing Home Care
Journal of Health Politics Policy and LawPublished 1 June 1994
Jacqueline S. Zinn
Citations122
SJR quartileQ1
SJR score1.50
SNIP1.27
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TL;DR
Factors influencing the degree of competition in the nursing home market are identified and proposed proposals for nursing home reimbursement reform are evaluated with respect to their incentives for enhancing quality.
Abstract
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.
Keywords
Social SciencesHealth Professions
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