Making Difficult Decisions: The Role of Quality of Care in Choosing a Nursing Home
Making Difficult Decisions: The Role of Quality of Care in Choosing a Nursing Home
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DOI：
10.2105/ajph.2013.301243
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发表时间：
2013-05-01
影响因子：
12.7
通讯作者：
Mukamel, Dana B.
中科院分区：
文献类型：
--
作者：
Pesis-Katz, Irena;Phelps, Charles E.;Mukamel, Dana B.
目标.我们调查了护理质量如何影响选择养老院。我们研究了2001年加州、俄亥俄州、纽约和得克萨斯州的养老院选择，这是联邦养老院比较报告卡发布之前的一段时间。因此，消费者不太能够观察到临床质量或临床质量被掩盖。我们通过估计条件多项式logit模型来模拟养老院的选择。在所有州，消费者更有可能选择高酒店服务质量的养老院，而不是临床护理质量。养老院的选择也与较短的距离，以前的住所，不以营利为目的的地位，和较大的设施规模显着相关。在没有质量报告卡的情况下，消费者选择养老院的基础上，质量的维度，他们很容易观察，评估，并适用于他们的情况。未来的研究应侧重于确定为消费者提供最大附加值的高质量信息。
Objectives. We investigated how quality of care affects choosing a nursing home.Methods. We examined nursing home choice in California, Ohio, New York, and Texas in 2001, a period before the federal Nursing Home Compare report card was published. Thus, consumers were less able to observe clinical quality or clinical quality was masked. We modeled nursing home choice by estimating a conditional multinomial logit model.Results. In all states, consumers were more likely to choose nursing homes of high hotel services quality but not clinical care quality. Nursing home choice was also significantly associated with shorter distance from prior residence, not-for-profit status, and larger facility size.Conclusions. In the absence of quality report cards, consumers choose a nursing home on the basis of the quality dimensions that are easy for them to observe, evaluate, and apply to their situation. Future research should focus on identifying the quality information that offers the most value added to consumers.