Does investor ownership of nursing homes compromise the quality of care?
Does investor ownership of nursing homes compromise the quality of care?
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DOI：
10.2105/ajph.91.9.1452
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发表时间：
2001-09-01
影响因子：
12.7
通讯作者：
Himmelstein, DU
中科院分区：
文献类型：
--
作者：
Harrington, C;Woolhandler, S;Himmelstein, DU
目标.三分之二的养老院是投资者拥有的，这项研究探讨了投资者所有权是否影响质量。我们分析了1998年13693护理设施的国家检查数据。我们使用了一个多变量模型，并控制了病例组合、设施特征和位置。投资者拥有的设施平均每户有5.89个缺陷，比非营利性设施高46.5%，比公共设施高43.0%。在多变量分析中，投资者所有权预测了0.679个额外的缺陷，连锁所有权预测了0.633个额外的缺陷。在投资者拥有的护理之家，护士配备较低。投资者拥有的养老院提供更差的护理和更少的护理比不以营利为目的或公共家园。
Objectives. Two thirds of nursing homes are investor owned, This study examined whether investor ownership affects quality.Methods. We analyzed 1998 data from state inspections of 13 693 nursing facilities. We used a multivariate model and controlled for case mix, facility characteristics, and location.Results. Investor-owned facilities averaged 5.89 deficiencies per home, 46.5% higher than nonprofit facilities and 43.0% higher than public facilities. In multivariate analysis, investor ownership predicted 0.679 additional deficiencies per home; chain ownership predicted an additional 0.633 deficiencies. Nurse staffing was lower at investor-owned nursing homes.Conclusions. Investor-owned nursing homes provide worse care and less nursing care than do not for-profit or public homes.