Market Conditions and Performance in the Nursing Home Compare Five-Star Rating
Market Conditions and Performance in the Nursing Home Compare Five-Star Rating
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DOI：
10.1215/03616878-3632221
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发表时间：
2016-10-01
影响因子：
4.2
通讯作者：
Kim, Ae-Sook
中科院分区：
文献类型：
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作者：
Kim, Ae-Sook
此前的研究表明，市场状况会影响疗养院的绩效；然而，证据不一致且相互矛盾。本研究介绍了三组县市场状况和同行效应变量，并测试了它们对疗养院比较 (NHC) 五星级总体评级的影响。印第安纳州疗养院数据和县特征主要来自 NHC 和人口普查局网站。有序逻辑回归分析的结果表明，需求过剩市场中的养老院，即那些高度集中且养老院数量较少的养老院，往往比供给过剩市场和均衡市场中的养老院表现更好。此外，以竞争对手的平均总体评分衡量的同行效应变量可以促进绩效提高。这些发现表明，小市场使消费者能够充分了解供应商的质量声誉，从而提高绩效。此外，不仅消费者，供应商似乎也在寻求成绩单上的绩效信息，以了解他们在市场中的相对地位，从而影响他们的市场策略和随后的绩效。
Previous studies have documented that market conditions affect nursing home performance; however, the evidence is inconsistent and conflicting. This study introduces three groups of county market conditions and a peer effect variable, and tests their impacts on the Nursing Home Compare (NHC) Five-Star overall rating. Indiana nursing home data and county characteristics are taken mainly from the NHC and Census Bureau websites. The result of the ordered logistic regression analysis indicates that nursing homes in excess demand markets, namely those that are highly concentrated and have fewer nursing homes, tend to perform better than their counterparts in both excess supply and balanced markets. In addition, a peer effect variable, measured as the average overall rating of the competitors, promotes performance improvement. These findings imply that small markets enable consumers to be well informed about a provider's reputation for quality, consequently enhancing performance. Furthermore, not only consumers but also providers seem to seek performance information on the report card to understand their relative position in the market, which thus affects their market strategies and subsequently performance.