Kitchener Martin, O'neill Ciaran, Harrington Charlene
Department of Social and Behavioral Sciences, University of California, San Francisco 94118, USA.
J Aging Soc Policy. 2005;17(4):19-35. doi: 10.1300/j031v17n04_02.
This paper reports on an exploratory study of nursing home bankruptcy. From state and industry data regarding nearly 1,000 California facilities, it was possible to identify 155 homes in five chains (multi-facility organizations) that were operating in bankruptcy in 2000. When compared with facilities in non-bankrupt chains, while the bankrupt chain facilities had significantly worse financial liquidity, higher administrative costs, and higher payables to related parties, they also had more Medicare residents, fewer Medicaid residents, better solvency, and were located in less competitive county markets and in areas with higher Medicaid reimbursement rates. These findings indicate that, rather than facility characteristics and local market factors, strategic decisions taken at the corporate (chain) level are the major determinants of nursing facility bankruptcy status.
本文报道了一项关于养老院破产的探索性研究。根据加利福尼亚州近1000家机构的州级和行业数据，得以确定2000年处于破产运营状态的5家连锁机构（多机构组织）中的155家养老院。与非破产连锁机构中的养老院相比，破产连锁机构中的养老院财务流动性明显更差、行政成本更高、关联方应付账款更多，但同时拥有更多的医疗保险居民、更少的医疗补助居民、偿付能力更强，且位于竞争较小的县市场以及医疗补助报销率较高的地区。这些发现表明，养老院破产状况的主要决定因素是企业（连锁）层面做出的战略决策，而非机构特征和当地市场因素。
