ArticleCanadian public policy. Analyse de politiques2021
Does the Profit Motive Matter? COVID-19 Prevention and Management in Ontario Long-Term-Care Homes.
Article in Canadian public policy. Analyse de politiques, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- SARS-CoV-2 outbreak management in nursing homes in Ireland: reflections of COVID-19 response teams from earlier to later waves of the pandemic.BMC public health · 2024Article
- Factors influencing long-term care facility performance during the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
- COVID-19 pandemic in long-term care: An international perspective for policy considerations.International journal of nursing sciences · 2023Article
- Teaming up for long-term care: Recognizing all long-term care staff contribute to quality care.Healthcare management forum · 2023Article
- Long-Term Care Home Size Association with COVID-19 Infection and Mortality in Catalonia in March and April 2020.Epidemiologia (Basel, Switzerland) · 2022Article
- The Impact of Long-Term Care Home Ownership and Administration Type on All-Cause Mortality from March to April 2020 in Madrid, Spain.Epidemiologia (Basel, Switzerland) · 2022Article
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Authors and funding
3 authors.
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Abstract
We introduce evidence that for-profit long-term-care providers are associated with less successful outcomes in coronavirus disease 2019 outbreak management. We introduce two sets of theoretical arguments that predict variation in service quality by provider type: those that deal with the institution of contracting (innovative competition vs. erosive competition) and those that address organizational features of for-profit, non-profit, and government actors (profit seeking, cross-subsidization, and future investment). We contextualize these arguments through a discussion of how contracting operates in Ontario long-term care. That discussion leads us to exclude the institutional arguments while retaining the arguments about organizational features as our three hypotheses. Using outbreak data as of February 2021, we find that government-run long-term-care homes surpassed for-profit and non-profit homes in outbreak management, consistent with an earlier finding from Stall et al. (2020). Non-profit homes outperform for-profit homes but are outperformed by government-run homes. These results are consistent with the expectations derived from two theoretical arguments-profit seeking and cross-subsidization-and inconsistent with a third-capacity for future investment.
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