The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Does Investor Ownership of Nursing Homes Compromise the Quality of Care?
Open accessAbstract
Objectives. Two thirds of nursing homes are investor owned. This study examined whether investor ownership affects quality. Methods. We analyzed 1998 data from state inspections of 13 693 nursing facilities. We used a multivariate model and controlled for case mix, facility characteristics, and location. Results. Investor-owned facilities averaged 5.89 deficiencies per home, 46.5% higher than nonprofit facilities and 43.0% higher than public facilities. In multivariate analysis, investor ownership predicted 0.679 additional deficiencies per home; chain ownership predicted an additional 0.633 deficiencies. Nurse staffing was lower at investor-owned nursing homes. Conclusions. Investor-owned nursing homes provide worse care and less nursing care than do not-for-profit or public homes.
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Cites
Refining a Case-Mix Measure for Nursing Homes: Resource Utilization Groups (RUG-III)
Fries, B. E., Schneider, D. P., Folley, W. J., Gavazzi, M., Burke, R., & Cornelius, E. (1994) · Medical Care · doi:10.1097/00005650-199407000-00002 · Cited by 556
Nursing Home Staffing and Its Relationship to Deficiencies
Harrington, C., Zimmerman, D., Karon, S. L., Robinson, J., & Beutel, P. (2000) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/55.5.s278 · Cited by 507
Self-citationNurse Staffing Levels and Adverse Events Following Surgery in U.S. Hospitals
Kovner, C., & Gergen, P. J. (1998) · Image: the Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.1998.tb01326.x · Cited by 400
Taylor, D. H., Whellan, D. J., & Sloan, F. A. (1999) · New England Journal of Medicine · doi:10.1056/nejm199901283400408 · Cited by 289
The effect of Medicaid reimbursement on quality of care in nursing homes
Cohen, J. W., & Spector, W. D. (1996) · Journal of Health Economics · doi:10.1016/0167-6296(95)00030-5 · Cited by 269
Characteristics of Nursing Homes that Affect Resident Outcomes
Spector, W. D., & Takada, H. A. (1991) · Journal of Aging and Health · doi:10.1177/089826439100300401 · Cited by 242
Unloving Care: The Nursing Home Tragedy, by Bruce C. Vladeck
Hynes, C. J. (1981) · Political Science Quarterly · doi:10.2307/2149702 · Cited by 234
Quality of Care in Investor-Owned vs Not-for-Profit HMOs
Himmelstein, D. U. (1999) · JAMA · doi:10.1001/jama.282.2.159 · Cited by 221
Self-citationFor-Profit Enterprise in Health Care
The Institute of Medicine Study, Gray, B. H., & McNerney, W. J. (1986) · New England Journal of Medicine · doi:10.1056/nejm198606053142335 · Cited by 217
Costs of Care and Administration at For-Profit and Other Hospitals in the United States
Woolhandler, S., & Himmelstein, D. U. (1997) · New England Journal of Medicine · doi:10.1056/nejm199703133361106 · Cited by 206
Self-citation
Cited by
Driven to tiers: socioeconomic and racial disparities in the quality of nursing home care
MOR, V., ZINN, J., ANGELELLI, J., TENO, J. M., & MILLER, S. C. (2004) · The Milbank Quarterly · doi:10.1111/j.0887-378x.2004.00309.x · Cited by 488
Anderson, R. A., Issel, L. M., & McDaniel, R. R. (2003) · Nursing Research · doi:10.1097/00006199-200301000-00003 · Cited by 434
The relationship between nurse staffing and quality of care in nursing homes: A systematic review
Spilsbury, K., Hewitt, C., Stirk, L., & Bowman, C. (2011) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2011.02.014 · Cited by 360
Li, Y., Cai, X., & Cram, P. (2011) · Medical Care · doi:10.1097/mlr.0b013e318202ac10 · Cited by 39
Park, Y. J., & Matkin, D. S. T. (2021) · Public Administration Review · doi:10.1111/puar.13269 · Cited by 34
Metadata
- Authors
- Harrington, C., Woolhandler, S., Mullan, J., Carrillo, H., & Himmelstein, D. U.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2001-09
- Volume
- 91
- Issue
- 9
- Pages
- 1452-1455
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W2160655103
- Cited by
- 300
- References
- 21
- FWCI
- 42.77
- Type
- journal article
- Language
- en
- Open access
- green
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.