Does information matter? Competition, quality, and the impact of nursing home report cards.
Does information matter? Competition, quality, and the impact of nursing home report cards.
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DOI：
10.1111/j.1475-6773.2011.01298.x
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发表时间：
2011-12
影响因子：
3.4
通讯作者：
Town RJ
中科院分区：
文献类型：
--
作者：
Grabowski DC;Town RJ
We evaluate the effects of the Nursing Home Quality Initiative (NHQI), which introduced quality measures to the CMS Nursing Home Compare website, on facility performance and consumer demand for services. The nursing home Minimum Data Set facility reports from 1999 to 2005 merged with facility-level data from the Online Survey, Certification and Reporting System. We rely on the staggered rollout of the report cards across pilot and non-pilot states to examine the effect of report cards on market share and quality of care. We also exploit differences in nursing home market competition at baseline to identify the impacts of the new information on nursing home quality. The introduction of the NHQI was generally unrelated to facility quality and consumer demand. However, nursing homes facing greater competition improved their quality more than facilities in less competitive markets. The lack of competition in many nursing home markets may help to explain why the NHQI report card effort had a minimal effect on nursing home quality. With the introduction of market-based reforms such as report cards, this result suggests policymakers must also consider market structure in efforts to improve nursing home performance.
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