Aaronson W E, Zinn J S, Rosko M D
School of Business & Management, Temple University, Philadelphia, PA.
Health Serv Manage Res. 1995 Feb;8(1):23-37. doi: 10.1177/095148489500800103.
This study applies Porter's model of competitive advantage to the nursing home industry. Discriminant analysis is used to identify organizational and environmental characteristics associated with nursing homes which have demonstrated valued strategic outcomes, and to distinguish the more successful nursing homes from their rivals. The results of the discriminant analysis suggest that nursing homes with superior payer mix outcomes are distinguishable from their less successful rivals in areas associated with a focused generic strategy. The study suggests that nursing homes which are better staffed, of smaller size and lower price are more likely to achieve high levels of self-pay utilization. Independent living units, continuing care retirement communities in particular, are likely to act synergistically with nursing home organizational characteristics to enhance competitive advantage by linking the value chain of the nursing home to that of retirement housing. Nursing homes with higher proportions of Medicare were found to provide a unique product when compared to their rivals. Profit status does not discriminate better self-pay strategic utilization, but for-profit facilities are more likely to pursue a Medicare strategy. Concern was raised that, as nursing homes become more strategically oriented, Medicaid access may become more problematic.
本研究将波特的竞争优势模型应用于疗养院行业。判别分析用于识别与已展现出有价值战略成果的疗养院相关的组织和环境特征，并将更成功的疗养院与竞争对手区分开来。判别分析结果表明，在与聚焦通用战略相关的领域，拥有优质付费者组合成果的疗养院与不太成功的竞争对手有所不同。该研究表明，人员配备更好、规模较小且价格较低的疗养院更有可能实现高水平的自费利用率。独立生活单元，尤其是持续照料退休社区，可能会与疗养院的组织特征协同作用，通过将疗养院的价值链与退休住房的价值链相联系来增强竞争优势。与竞争对手相比，发现医疗保险比例较高的疗养院提供了独特的产品。盈利状况并不能区分更好的自费战略利用率，但营利性机构更有可能追求医疗保险战略。有人担心，随着疗养院在战略上变得更加导向，医疗补助的获取可能会变得更成问题。
