Making Difficult Decisions: The Role of Quality of Care in Choosing a Nursing Home
| Autor: | Irena Pesis-Katz, Peter J. Veazie, Dana B. Mukamel, Helena Temkin-Greener, Charles E. Phelps, William D. Spector |
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| Rok vydání: | 2013 |
| Předmět: |
Financing
Personal genetic structures media_common.quotation_subject New York Information Dissemination Choice Behavior California Health Services Accessibility Online Research and Practice InformationSystems_GENERAL Quality of life (healthcare) Nursing Humans Medicine Quality (business) Quality of care Aged Ohio Quality Indicators Health Care Quality of Health Care media_common Multinomial logistic regression Aged 80 and over business.industry Ownership Public Health Environmental and Occupational Health Texas Nursing Homes Quality dimensions Logistic Models Health Facility Environment Quality of Life Clinical Competence Nursing homes business Report card |
| Zdroj: | American Journal of Public Health. 103:e31-e37 |
| ISSN: | 1541-0048 0090-0036 |
| DOI: | 10.2105/ajph.2013.301243 |
| Popis: | 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-for-profit 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. |
| Databáze: | OpenAIRE |
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