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The impact of ownership type on nursing home outcomes

Author

Listed:
  • William D. Spector

    (Agency for Health Care Policy and Research, Rockville, USA)

  • Thomas M. Selden

    (Agency for Health Care Policy and Research, Rockville, USA)

  • Joel W. Cohen

    (Agency for Health Care Policy and Research, Rockville, USA)

Abstract

This paper examines the sorting of residents between for-profit and nonprofit nursing homes and the health outcomes of those residents conditional on ownership type. Using data from the 1987 National Medical Expenditure Survey, we find evidence of systematic sorting of residents by ownership type, and significant effects of ownership type on outcomes. These results are broadly consistent with the hypothesis that for-profit and nonprofit homes exploit their informational advantages to differing extents in a market characterized by asymmetric information. © 1998 John Wiley & Sons, Ltd.

Suggested Citation

  • William D. Spector & Thomas M. Selden & Joel W. Cohen, 1998. "The impact of ownership type on nursing home outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 7(7), pages 639-653.
  • Handle: RePEc:wly:hlthec:v:7:y:1998:i:7:p:639-653
    DOI: 10.1002/(SICI)1099-1050(1998110)7:7<639::AID-HEC373>3.0.CO;2-0
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    Citations

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    Cited by:

    1. Dwayne Banks & Elliott Parker & Jeanne Wendel, 2001. "Strategic interaction among hospitals and nursing facilities: the efficiency effects of payment systems and vertical integration," Health Economics, John Wiley & Sons, Ltd., vol. 10(2), pages 119-134.
    2. Virender Kumar & Edward Norton & William Encinosa, 2006. "OBRA 1987 and the quality of nursing home care," International Journal of Health Economics and Management, Springer, vol. 6(1), pages 49-81, March.
    3. David C. Grabowski & Edward C. Norton, 2012. "Nursing Home Quality of Care," Chapters,in: The Elgar Companion to Health Economics, Second Edition, chapter 29 Edward Elgar Publishing.
    4. Ben-Ner Avner & Karaca-Mandic Pinar & Ren Ting, 2012. "Ownership and Quality in Markets with Asymmetric Information: Evidence from Nursing Homes," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 12(1), pages 1-33, October.
    5. Pierre Koning & Joëlle Noailly & Sabine Visser, 2007. "Do Not-For-Profits Make a Difference in Social Services? A Survey Study," De Economist, Springer, vol. 155(3), pages 251-270, September.
    6. Dewaelheyns, Nico & Eeckloo, Kristof & Van Herck, Gustaaf & Van Hulle, Cynthia & Vleugels, Arthur, 2009. "Do non-profit nursing homes separate governance roles?: The impact of size and ownership characteristics," Health Policy, Elsevier, vol. 90(2-3), pages 188-195, May.
    7. Laura Di Giorgio & Massimo Filippini & Giuliano Masiero, 2014. "The relationship between costs and quality in nonprofit nursing homes," IdEP Economic Papers 1402, USI Università della Svizzera italiana.
    8. Chou, Shin-Yi, 2002. "Asymmetric information, ownership and quality of care: an empirical analysis of nursing homes," Journal of Health Economics, Elsevier, vol. 21(2), pages 293-311, March.
    9. Grabowski, David C. & Hirth, Richard A., 2003. "Competitive spillovers across non-profit and for-profit nursing homes," Journal of Health Economics, Elsevier, vol. 22(1), pages 1-22, January.
    10. L. Di Giorgio & M. Filippini & G. Masiero, 2016. "Is higher nursing home quality more costly?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(8), pages 1011-1026, November.
    11. Pierre Koning & Joëlle Noailly & Sabine Visser, 2007. "Do non-profits make a difference? Evaluating non-profit vis-à-vis for-profit organisations in social services," CPB Document 142, CPB Netherlands Bureau for Economic Policy Analysis.
    12. Eric Christensen & Richard Arnould, 2005. "The Impact of Asymmetric Information and Ownership on Nursing Home Access," International Journal of Health Economics and Management, Springer, vol. 5(3), pages 273-297, September.
    13. Mary Carter & Shuhui Wang, 2006. "Quality of Care in Appalachian Nursing Homes: Doing More with Less?," Working Papers Working Paper 2006-06, Regional Research Institute, West Virginia University.

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