ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2016
Is higher nursing home quality more costly?
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Process, structural, and outcome quality indicators of nutritional care in nursing homes: a systematic review.BMC health services research · 2018Pooled it
- A spatiotemporal analysis of administrative emergency hospitalization data (2012-2021) to assess outreach service adequacy to elderly residential care homes in Hong Kong.BMC health services research · 2026Article
- Registered Nurses' perspective of systemic factors affecting nursing home care quality decline: A qualitative descriptive study.Nursing open · 2023Article
- The relationship of nursing home price and quality of life.BMC health services research · 2020Article
- Review
- [Critical discussion on the current quality debate on long-term care-a plea for a systemic and empirical insight into the development and measurement of quality in long-term care].Zeitschrift fur Gerontologie und Geriatrie · 2019Review
- An Empirical Investigation of "Physician Congestion" in U.S. University Hospitals.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Widespread issues regarding quality in nursing homes call for an improved understanding of the relationship with costs. This relationship may differ in European countries, where care is mainly delivered by nonprofit providers. In accordance with the economic theory of production, we estimate a total cost function for nursing home services using data from 45 nursing homes in Switzerland between 2006 and 2010. Quality is measured by means of clinical indicators regarding process and outcome derived from the minimum data set. We consider both composite and single quality indicators. Contrary to most previous studies, we use panel data and control for omitted variables bias. This allows us to capture features specific to nursing homes that may explain differences in structural quality or cost levels. Additional analysis is provided to address simultaneity bias using an instrumental variable approach. We find evidence that poor levels of quality regarding outcome, as measured by the prevalence of severe pain and weight loss, lead to higher costs. This may have important implications for the design of payment schemes for nursing homes.
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Registered trials
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