Evidence map›Paper›PMID 23202253›Full record

ArticleJournal of health economics2013

Effect of nursing home ownership on the quality of post-acute care: an instrumental variables approach.

David C Grabowski, Zhanlian Feng, Richard Hirth, Momotazur Rahman, Vincent Mor

Abstract read
In one paragraph

Article in Journal of health economics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Wealth Extraction from a Nursing Home Chain With Individual, Private Equity, and Real Estate Owners.International journal of social determinants of health and health services · 2025
    Article
  3. PRODUCING HEALTH: MEASURING VALUE ADDED OF NURSING HOMES.Econometrica : journal of the Econometric Society · 2025
    Article
  4. Article
  5. Article
  6. Article
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  8. Article
  9. Measuring Nursing Home Performance Using Administrative Data.Medical care research and review : MCRR · 2023
    Article
  10. Article
  11. Article
  12. Observational
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  19. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

David C GrabowskiHarvard University, Department of Health Care Policy, Boston, MA 02115-5899, USA. grabowski@med.harvard.edu
Zhanlian Feng
Richard Hirth
Momotazur Rahman
Vincent Mor

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI, Kali St. Marie Thomas · 2007 to 2026
$38.9M
Selection and the Quality Impact of Nursing Home OwnershipR01AG034179 · NIA · HARVARD MEDICAL SCHOOL · PI GRABOWSKI, DAVID C · 2009 to 2010
$703k
NIA NIH HHS P01 AG027296NIA NIH HHS R01 AG034179
6 · The paper itself

Abstract

Given the preferential tax treatment afforded nonprofit firms, policymakers and researchers have been interested in whether the nonprofit sector provides higher nursing home quality relative to its for-profit counterpart. However, differential selection into for-profits and nonprofits can lead to biased estimates of the effect of ownership form. By using "differential distance" to the nearest nonprofit nursing home relative to the nearest for-profit nursing home, we mimic randomization of residents into more or less "exposure" to nonprofit homes when estimating the effects of ownership on quality of care. Using national Minimum Data Set assessments linked with Medicare claims, we use a national cohort of post-acute patients who were newly admitted to nursing homes within an 18-month period spanning January 1, 2004 and June 30, 2005. After instrumenting for ownership status, we found that post-acute patients in nonprofit facilities had fewer 30-day hospitalizations and greater improvement in mobility, pain, and functioning.

Indexed as

Acute DiseaseAged, 80 and overFemaleHealth Facilities, ProprietaryHumansMaleMedicareNursing HomesOrganizations, NonprofitOwnershipQuality Indicators, Health CareQuality of Health CareUnited States

Identifiers

PMID23202253
PMCPMC3538928

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.