ArticleInternational journal of health services : planning, administration, evaluation2020
For-Profit Nursing Homes in the Netherlands: What Factors Explain Their Rise?
Article in International journal of health services : planning, administration, evaluation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluating trends in private equity ownership and impacts on health outcomes, costs, and quality: systematic review.BMJ (Clinical research ed.) · 2023Pooled it
- Lifecycle regulation of private equity in healthcare: a transatlantic governance framework.Frontiers in health services · 2026Article
- Total healthcare costs of deinstitutionalized long-term care provision in the Netherlands: an instrumental variable analysis.BMC health services research · 2025Article
- How outsourcing has contributed to England's social care crisis.BMJ (Clinical research ed.) · 2024Article
- The Impact of Social Distancing Due to the COVID-19 Pandemic on People with Dementia, Family Carers and Healthcare Professionals: A Qualitative Study.International journal of environmental research and public health · 2022Article
- Equity financing intention of elderly care enterprises: Influence of institutional logic and operation mode.Frontiers in public health · 2022Article
- The Increasing Investment of Real Estate in the Health System-A Comparison between the USA and Europe.Healthcare (Basel, Switzerland) · 2021Review
- How the logics of the market, bureaucracy, professionalism and care are reconciled in practice: an empirical ethics approach.BMC health services research · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This exploratory, mixed-methods study analyzes characteristics of the emerging for-profit nursing home industry in the Netherlands and identifies the interrelated set of factors (context, trends, and sector conditions) that contribute to its growth. Until recently, the Dutch nursing home sector relied almost exclusively on nonprofit providers. Even though profit distribution in nursing home care is still banned, the for-profit nursing home sector is expanding. The study uses economic theory on nonprofit organizations and mixed-form markets to understand this expansion. We find that changes in the regulatory framework have unlocked the potential of the for-profit nursing home sector, enabling for-profit nursing homes to circumvent the for-profit ban. The expansion of the for-profit sector was mainly driven by the low responsiveness of the nonprofit sector to increased and changed demands. For-profit providers took advantage of this void. Moreover, they exploited "cream-skimming" potential in the market and used the wider care system to reduce their labor costs by relying on external specialist care. Another main driver was the access to financial capital from private investors (e.g., private equity firms).
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Registered trials
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.