NURSING HOME QUALITY AS A COMMON GOOD
NURSING HOME QUALITY AS A COMMON GOOD
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DOI：
10.1162/rest.90.4.754
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发表时间：
2008-11-01
影响因子：
8
通讯作者：
Angelelli, Joseph J.
中科院分区：
文献类型：
--
作者：
Grabowski, David C.;Gruber, Jonathan;Angelelli, Joseph J.
经济学家长期以来的一个假设是，养老院的质量在公共医疗补助和私人付费患者中是普遍的。然而，只有有限的实证工作解决这个问题。使用一个独特的个人层面的面板的居民的养老院从七个州，我们利用内部设施和内部的变化，付款人的来源和质量来研究这个问题。我们还测试了这些结果在不同医疗补助和私人支付率差异的州之间的稳健性。在各种识别策略中，我们的结果与医疗补助和设施内私人付费患者的共同质量假设一致。
A long-standing assumption among economists is that nursing home quality is common across Medicaid and private-pay patients within a shared facility. However, there has been only limited empirical work addressing this issue. Using a unique individual-level panel of residents of nursing homes from seven states, we exploit both within-facility and within-person variation in payer source and quality to examine this issue. We also test the robustness of these results across states with different Medicaid and private-pay rate differentials. Across various identification strategies, our results are consistent with the assumption of common quality across Medicaid and private-paying patients within facilities.