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Making difficult decisions: The role of quality of care in choosing a nursing home

Author

Listed:
  • Pesis-Katz, I.
  • Phelps, C.E.
  • Temkin-Greener, H.
  • Spector, W.D.
  • Veazie, P.
  • Mukamel, D.B.

Abstract

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-forprofit 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.

Suggested Citation

  • Pesis-Katz, I. & Phelps, C.E. & Temkin-Greener, H. & Spector, W.D. & Veazie, P. & Mukamel, D.B., 2013. "Making difficult decisions: The role of quality of care in choosing a nursing home," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 31-37.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301243_3
    DOI: 10.2105/AJPH.2013.301243
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    Cited by:

    1. Hange, Ulrich, 2015. "The Market for Nursing Homes in Germany: a spatial competition approach," VfS Annual Conference 2015 (Muenster): Economic Development - Theory and Policy 112853, Verein für Socialpolitik / German Economic Association.

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