Does Quality Influence Consumer Choice of Nursing Homes? Evidence from Nursing Home to Nursing Home Transfers

TitleDoes Quality Influence Consumer Choice of Nursing Homes? Evidence from Nursing Home to Nursing Home Transfers
Publication TypeJournal Article
Year of Publication2003
AuthorsHirth R.A, Banaszak-Holl J.C, Fries B.E, Turenne M.N
JournalInquiry
Volume40
Issue4
Pagination343-361
Accession NumberWOS:000220360500004
Abstract

We estimated Cox proportional hazards models using assessment data from the Minimum Data Set to test whether nursing home residents and their proxies respond to quality of care by changing providers. Various indicators of poor quality increased the likelihood of transfer. Residents of for-profit homes or homes with excess capacity also were more likely to transfer. Inability to participate in care decisions and factors indicating frailty limited residents' ability to transfer. The apparent responsiveness to quality is encouraging. Nonetheless, because the absolute transfer rate is low, significant barriers to movement among nursing homes still may exist.

Link

https://journals.sagepub.com/doi/pdf/10.5034/inquiryjrnl_40.4.343