Bell R, Krivich M
Governors State University, Division of Helth Administration, University Park, IL 60466.
Public Health Rep. 1990 Sep-Oct;105(5):515-8.
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.
利用伊利诺伊州1986 - 87报告年度熟练护理机构（SNFs）的未调整和调整后死亡率，研究了所有权对这些机构护理质量和成本的影响。结果表明，在使用未调整死亡率时，营利性机构的死亡率远低于政府所有或非营利性的SNFs。当使用干预变量的可用度量对死亡率进行调整后，所有权类型之间的差异消失了。与其他类型的机构所有权相比，营利性机构向综合医院转诊的比例更高，这似乎对SNFs的死亡率影响最大。
