ArticleInternational journal of health care finance and economics2014
Effect of nursing home ownership on hospitalization of long-stay residents: an instrumental variables approach.
Article in International journal of health care finance and economics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- The health effects of nursing home specialization in post-acute care.Journal of health economics · 2023Article
- Organizational and Resident Characteristics of Nursing Homes Associated With Partial and Complete Implementation of the Preferences for Everyday Living Inventory.Innovation in aging · 2023Article
- Ownership Change and Care Quality: Lessons From Minnesota's Experience With Value-Based Purchasing.Innovation in aging · 2022Article
- Association of Private Equity Investment in US Nursing Homes With the Quality and Cost of Care for Long-Stay Residents.JAMA health forum · 2021Article
- Article
- For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Association between High Proportions of Seriously Mentally Ill Nursing Home Residents and the Quality of Resident Care.Journal of the American Geriatrics Society · 2019Article
- Do report cards predict future quality? The case of skilled nursing facilities.Journal of health economics · 2019Article
- Consumer Response to Composite Ratings of Nursing Home Quality.American journal of health economics · 2019Article
- Physical Therapy as the First Point of Care to Treat Low Back Pain: An Instrumental Variables Approach to Estimate Impact on Opioid Prescription, Health Care Utilization, and Costs.Health services research · 2018Article
- The Impact of Dementia Special Care Units on Quality of Care: An Instrumental Variables Analysis.Health services research · 2018Article
- Technical efficiency of nursing homes: do five-star quality ratings matter?Health care management science · 2018Article
- The Contribution of Skilled Nursing Facilities to Hospitals' Readmission Rate.Health services research · 2017Article
- Impacts of Geographic Distance on Peritoneal Dialysis Utilization: Refining Models of Treatment Selection.Health services research · 2017Article
- Is a Skilled Nursing Facility's Rehospitalization Rate a Valid Quality Measure?Health services research · 2016Article
- Is higher nursing home quality more costly?The European journal of health economics : HEPAC : health economics in prevention and care · 2016Article
- Observational Evidence of For-Profit Delivery and Inferior Nursing Home Care: When Is There Enough Evidence for Policy Change?PLoS medicine · 2016Article
- Sensitivity and specificity of the Minimum Data Set 3.0 discharge data relative to Medicare claims.Journal of the American Medical Directors Association · 2014Article
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Authors and funding
5 authors.
Funding
Abstract
Hospitalizations among nursing home residents are frequent, expensive, and often associated with further deterioration of resident condition. The literature indicates that a substantial fraction of admissions is potentially preventable and that nonprofit nursing homes are less likely to hospitalize their residents. However, the correlation between ownership and hospitalization might reflect unobserved resident differences rather than a causal relationship. Using national minimum data set assessments linked with Medicare claims, we use a national cohort of long-stay residents 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 IV estimates of the effect of nonprofit ownership on hospitalization are at least as large as the non-instrumented effects, indicating that selection bias does not explain the observed relationship. We also found evidence suggesting the lower rate of hospitalizations among nonprofits was due to a different threshold for transfer.
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Registered trials
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