肯塔基州疗养院的需求过剩与成本关系
Excess demand and cost relationships among Kentucky nursing homes.
作者信息
Davis M A, Freeman J W
机构信息
Department of Management, University of Kentucky, Lexington 40506.
出版信息
Health Care Financ Rev. 1994 Summer;15(4):137-52.
This article examines the influence of excess demand on nursing home costs. Previous work indicates that excess demand, reflected in a pervasive shortage of nursing home beds, constrains market competition and patient care expenditures. According to this view, nursing homes located in underbedded markets can reduce costs and quality with impunity because there is no pressure to compete for residents. Predictions based on the excess demand argument were tested using 1989 data from a sample of 179 Kentucky nursing homes. Overall, the results provide partial support for the excess demand argument. Factors that may counteract the influence of excess demand are considered. Finally, the role of competition in nursing home markets and difficulties associated with making it operational are discussed.
本文探讨了过度需求对养老院成本的影响。先前的研究表明，过度需求表现为养老院床位普遍短缺，这限制了市场竞争和患者护理支出。按照这种观点，床位供应不足市场中的养老院可以降低成本和服务质量而不受惩罚，因为不存在争夺居民的竞争压力。基于过度需求观点的预测通过使用来自肯塔基州179家养老院样本的1989年数据进行了检验。总体而言，结果为过度需求观点提供了部分支持。文中还考虑了可能抵消过度需求影响的因素。最后，讨论了竞争在养老院市场中的作用以及使其有效运作所面临的困难。
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