Abstract
The effect of ownership on the quality and cost of care in skilled nursing facilities (SNFs) was examined using unadjusted and adjusted mortality rates for such facilities in Illinois for the 1986-87 reporting year. Results indicated that when using unadjusted mortality rates, for-profit facilities had much lower rates than either government-owned or nonprofit SNFs. When mortality rates were adjusted, using available measures of intervening variables, differences by type of ownership disappeared. The higher percentage of discharges to general hospitals exhibited by for-profit facilities, compared with other types of facility ownership, appears to have the strongest effect on SNF mortality rates.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Greene V. L., Monahan D. J. Structural and operational factors affecting quality of patient care in nursing homes. Public Policy. 1981 Fall;29(4):399–415. [PubMed] [Google Scholar]
- Ingram D. K., Barry J. R. National statistics on deaths in nursing homes. Interpretations and implications. Gerontologist. 1977 Aug;17(4):303–308. doi: 10.1093/geront/17.4.303. [DOI] [PubMed] [Google Scholar]
- Ullmann S. G. Assessment of facility quality and its relationship to facility size in the long-term health care industry. Gerontologist. 1981 Feb;21(1):91–97. [PubMed] [Google Scholar]
- Ullmann S. G. Ownership, regulation, quality assessment, and performance in the long-term health care industry. Gerontologist. 1987 Apr;27(2):233–239. doi: 10.1093/geront/27.2.233. [DOI] [PubMed] [Google Scholar]
- Zimmer J. G. Areawide quality assurance studies in long term care facilities. QRB Qual Rev Bull. 1982 Jul;8(7):2–6. [PubMed] [Google Scholar]
