Nursing Homes with Persistent High and Low Quality

Medical Care Research and Review

Volumn 61, Issue 1, 2004, Pages 89-115

  Grabowski, David C ^a   Castle, Nicholas G ^b  

^a UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^b RAND   (United States)

Author keywords

Long term care; Medicaid; Nursing homes; Quality; Regulation

Indexed keywords

ARTICLE; CONSUMER; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HOME CARE; MEDICAID; NURSING HOME; PATIENT CARE; REIMBURSEMENT;

CERTIFICATE OF NEED; DATA COLLECTION; HUMANS; MEDICAID; NURSING HOMES; QUALITY OF HEALTH CARE; REIMBURSEMENT MECHANISMS; UNITED STATES;

EID: 1242319245     PISSN: 10775587     EISSN: None     Source Type: Journal    
DOI: 10.1177/1077558703260122     Document Type: Article

References (58)

1. Allman, R. M. 1989. Epidemiology of pressure sores in different populations. Decubitus 2:30-33.
2. Arrow, K. J. 1963. Uncertainty and the welfare economics of medical care. American Economic Review 53:941-73.
3. Banaszak-Holl, J., J. S. Zinn, and V. Mor. 1996. The impact of market and organizational characteristics on nursing home service innovation: A resource dependency perspective. Health Services Research 31 (1): 97-117.
4. Brandeis, G. H., W. L. Ooi, M. Hossain, J. N. Morris, and L. A. Lipsitz. 1994. A longitudinal study of risk factors associated with the formation of pressure ulcers in nursing homes. Journal of the American Geriatrics Society 42:388-93.
5. Castle, N. G. 2001. Innovation: First adopters in nursing homes. The Gerontologist 41 (2): 161-72.
6. Castle, N. G. 2003. Searching for and selecting a nursing facility. Medical Care Research and Review 60 (2): 223-47.
7. Castle, N. G., and B. Fogel. 2002. Professional association membership by nursing facility administrators and quality of care? Health Care Management Review 27 (2): 7-17.
8. Castle, N. G., and V. Mor. 1998. The use of physical restraints in nursing homes: A review of the literature since the Nursing Home Reform Act of 1987. Medical Care Research and Review 55 (2): 139-70.
9. Cherry, R. L. 1991. Agents of nursing home quality of care: Ombudsmen and staff rations revisited. The Gerontologist 31 (3): 302-8.
10. Chou, S. Y. 2002. Asymmetric information, ownership and quality of care: An empirical analysis of nursing homes. Journal of Health Economics 21 (2): 293-311.
11. Cohen, J. W., and W. D. Spector. 1996. The effect of Medicaid reimbursement on quality of care in nursing homes. Journal of Health Economics 15 (1): 23-48.
12. Coleman, B. 1991. The Nursing Home Reform Act of 1987: Provisions, policy, prospects. Boston: Boston Gerontology Institute, University of Massachusetts.
13. Davis, M. A. 1991. On nursing home quality: A review and analysis. Medical Care Review 48 (2): 129-66.
14. Ejaz, F. K., S. J. Folmar, M. Kaufmann, M. S. Rose, and B. Goldman. 1994. Restraint reduction: Can it be achieved? The Gerontologist 34:694-99.
15. General Accounting Office. 1998. California nursing homes: Care problems persist despite federal and state oversight. GAO/HEHS-98-202. Washington, DC: General Accounting Office.
16. -. 1999a. Nursing homes: Additional steps needed to strengthen enforcement offederal quality standards. GAO/HEHS-99-46. Washington, DC: General Accounting Office.
17. -. 1999b. Nursing homes: Complaint investigation process often inadequate to protect residents. GAO/HEHS-99-80. Washington, DC: General Accounting Office.
18. -. 1999c. Nursing homes: Proposal to enhance oversight of poorly performing homes has merit. GAO/HEHS-99-157. Washington, DC: General Accounting Office.
19. -. 2002. Nursing homes: Public reporting of quality indicators has merit, but national implementation is premature. GAO-03-137. Washington, DC: General Accounting Office.
20. Galindo-Ciocon, D. J. 1993. Tube feeding: Complications among the elderly. Journal of Gerontological Nursing 19 (6): 17-22.
21. Gertler, P. J. 1989. Subsidies, quality, and the regulation of nursing homes. Journal of Public Economics 38 (1): 33-52.
22. Graber, D. R., and P. D. Sloane. 1995. Nursing home survey deficiencies for physical restraint use. Medical Care 33 (10): 1051-63.
23. Grabowski, D. C. 2001a. Does an increase in the Medicaid reimbursement rate improve nursing home quality? Journal of Gerontology: Social Sciences 56B (2): S84-S93.
24. -. 2001b. Medicaid reimbursement and the quality of nursing home care. Journal of Health Economics 20 (4): 549-69.
25. -. 2002. The economic implications of case-mix Medicaid reimbursement for nursing home care. Inquiry 39 (3): 258-78.
26. Grabowski, D. C., and R. A. Hirth. 2003. Competitive spillovers across nonprofit and for-profit nursing homes. Journal of Health Economics 22 (1): 1-22.
27. Hansmann, H. A. 1980. The role of nonprofit enterprise. Yale Law Journal 89:835-901.
28. Harrington, C., and H. Carrillo. 1999. The regulation and enforcement of federal nursing home standards, 1991-1997. Medical Care Research and Review 56 (4): 471-94.
29. Harrington, C., H. Carrillo, J. Mullan, and J. Swan. 1998. Nursing facility staffing in the states: The 1991-1995 period. Medical Care Research and Review 55 (3): 334-63.
30. Harrington, C., C. Kovner, M. Mezey, J. Kayser-Jones, S. Burger, M. Mohler, R. Burke, and D. Zimmerman. 2000. Experts recommend minimum staffing standards for nursing facilities in the United States. The Gerontologist 40 (1): 5-16.
31. Harrington, C., J. H. Swan, V. Wellin, W. Clemena, and H. M. Carrillo. 1999.1998 state data book on long term care program and market characteristics. San Francisco: University of California, Department of Social and Behavioral Sciences.
32. Harrington, C., D. Zimmerman, S. L. Karon, J. Robinson, and P. Beutel. 2000. Nursing home staffing and its relationship to deficiencies. Journal of Gerontology: Social Sciences 55B (5): S278-S287.
33. Hirshman, A. 1970. Exit, voice and loyalty. Cambridge, MA: Harvard University Press.
34. Hirth, R. A. 1997. Competition between for-profit and nonprofit health care providers: can it help achieve social goals? Medical Care Research and Review 54 (4): 414-38.
35. -. 1999. Consumer information and competition between nonprofit and for-profit nursing homes. Journal of Health Economics 18 (2): 219-40.
36. Hirth, R. A., J. C. Banaszak-Holl, and J. F. McCarthy. 2000. Nursing home-to-nursing home transfers: Prevalence, time pattern and resident correlates. Medical Care 38 (6): 660-69.
37. Institute of Medicine. 2001. Improving the quality of long-term care. Washington, DC: National Academy Press, Committee on Improving Quality in Long-Term Care.
38. Kaiser Family Foundation. 2002. State budgets under stress: How are states planning to reduce the growth in Medicaid costs? Washington, DC: Kaiser Commission on Medicaid and the Uninsured.
39. Moulton, B. R. 1990. An illustration of a pitfall in estimating the effects of aggregate variables on micro units. The Review of Economics and Statistics 72 (2): 334-38.
40. Mukamel, D. B. 1997. Risk-adjusted outcome measures and quality of care in nursing homes. Medical Care 35 (4): 367-85.
41. Norton, E. C. 2000. Long-term care. In Handbook of health economics, vol. 1, ed. A. J. Cuyler and J. P. Newhouse, 955-94. Amsterdam: Elsevier Science.
42. Nyman, J. A. 1985. Prospective and "cost-plus" Medicaid reimbursement, excess Medicaid demand, and the quality of nursing home care. Journal of Health Economics 4 (3): 237-59.
43. -. 1989. Analysis of nursing home use and bed supply: Wisconsin, 1983. Health Services Research 24 (4): 511-37.
44. -. 1993. Testing for excess demand in nursing home care markets. Medical Care 31 (8): 680-93.
45. -. 1994. The effects of market concentration and excess demand on the price of nursing home care. Journal of Industrial Economics 42 (2): 193-204.
46. Ouslander, J., and R. Kane. 1984. The cost of urinary incontinence in nursing homes. Medical Care 22 (1): 69-79.
47. Pear, R. 2001. U.S. may ease regulation of nursing home industry. New York Times, September 7, 2001. http://www.nytimes.com/2001/09/07/politics/07NURS.html? ex=1001164199& ei=1&en=069a4446958c9888 (accessed July 16, 2002).
48. Phillips, C. D., C. Hawes, and B. E. Fries. 1993. Reducing the use of physical restraints in nursing homes: Will it increase costs? American Journal of Public Health 83:342-48.
49. Ray, W. A., C. F. Federspiel, and W. Schaffner. 1980. A study of antipsychotic drug use in nursing homes: Epidemiologic evidence suggesting misuse. American Journal of Public Health 70:485-91.
50. Rhode Island Department of Health, Division of Health Services Regulation. 2002. Nursing home informationfor consumers. Providence, RI: Rhode Island Department of Health. http://www.healthri.org/hsr/facilities/nursinghomes/home.htm (accessed October 25, 2002).
51. Scanlon, W. J. 1980. A theory of the nursing home market. Inquiry 17:25-41.
52. Schnelle, J. F., and R. L. Smith. 2001. Quality indicators for the management of urinary incontinence in vulnerable community-dwelling elders. Annals of Internal Medicine 16(8, Pt. 2): 752-58.
53. Singh, D. A., and R. C. Schwab. 2000. Predicting turnover and retention in nursing home administrators: Management and policy implications. The Gerontologist 40:310-19.
54. Spector, W., and H. A. Takada. 1991. Characteristics of nursing homes that affect resident outcomes. Journal of Aging and Health 3:427-54.
55. Stambler, H. 1988. The area resource file: Abrief look. Public Health Reports 103:184-88.
56. Strahan, G. W. 1997. An overview of nursing homes and their current residents: Data from the 1995 national nursing home survey, advance data. Number 280. Hyattsville, MD: U.S. Department of Health and Human Services, National Center for Health Statistics.
57. Walshe, K. 2001. Regulating U.S. nursing homes: Are we learning from experience? Health Affairs 20 (6): 128-44.
58. Warren, J. W., L. Steinberg, J. R. Hebel, and J. H. Tenney. 1989. Prevalence of urethral catheterization in Maryland nursing homes. Archives of Internal Medicine 149:1535-37.