Department of Economics and Scripps Gerontology Center, Miami University, Oxford, OH 45056, USA.
Health Econ. 2011 Jun;20(6):631-44. doi: 10.1002/hec.1618.
Ownership conversions and closures in the nursing home literature have largely been treated as separate issues. This paper studies the predictors of nursing home ownership conversions and closure in a common framework after the implementation of the Prospective Payment System in Medicare skilled nursing facilities. The switch in reimbursement regimes impacted facilities with greater exposure to Medicare and lower efficiency. Facilities that faced greater financial difficulty were more likely to be involved in an ownership conversion or closure, but after controlling for other factors the effect of exposure to Medicare is small. Further, factors that predict conversion were found to vary between not-for-profit and for-profit facilities, while factors that predict closure were the same for each ownership type.
养老院文献中的所有权转换和关闭在很大程度上被视为两个独立的问题。本文在 Medicare 熟练护理设施实施前瞻性支付制度后，在一个共同框架内研究了养老院所有权转换和关闭的预测因素。报销制度的转变对 Medicare 覆盖范围较大且效率较低的设施产生了影响。面临更大财务困难的设施更有可能进行所有权转换或关闭，但在控制其他因素后， Medicare 的影响较小。此外，非营利性和营利性设施的转换预测因素不同，而每种所有权类型的关闭预测因素相同。
