Does Investor Ownership of Nursing Homes Compromise the Quality of Care?

作者：Charlene A. Harrington, Steffie J. Woolhandler, Joseph Mullan, Helen Carrillo, David U. Himmelstein · 发表于：American Journal of Public Health · 年份：2001 · DOI：10.2105/ajph.91.9.1452 · 被引用次数：304 · 研究领域：Geriatric Care and Nursing Homes、Intergenerational Family Dynamics and Caregiving、Healthcare Policy and Management

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.