Georgetown University, Washington, DC, USA.
Monash University, Melbourne, Victoria, Australia.
Med Care Res Rev. 2021 Apr;78(2):173-180. doi: 10.1177/1077558719857335. Epub 2019 Jun 20.
Nursing home (NH) care is arguably the most significant financial risk faced by the elderly without long-term care insurance or Medicaid coverage. Annual out-of-pocket expenditures for NH care can easily exceed $70,000. However, our understanding of private-pay prices is limited by data availability. Utilizing a unique data set on NH prices from 2005 through 2010 across eight states, we find that NH price growth has consistently outpaced growth in consumer and medical care prices. After adjusting for geographical and facility differences, for-profit chains charge the lowest prices, independently operated for-profit and nonprofit NHs have similar prices, and nonprofit chains charge the highest prices. Adjusted prices are also likely to be higher when NHs have higher occupancy rates and markets are more concentrated. The significant differences in price across organizational and market structures suggest private-pay prices can be an important factor when evaluating and comparing the value of NH care.
养老院（NH）护理可以说是没有长期护理保险或医疗补助覆盖的老年人面临的最大财务风险。养老院护理的年自费支出很容易超过 70000 美元。然而，我们对私人支付价格的了解受到数据可用性的限制。利用来自 2005 年至 2010 年八个州的 NH 价格的独特数据集，我们发现 NH 价格的增长一直超过消费者和医疗保健价格的增长。在调整了地理位置和设施差异后，营利性连锁机构的收费最低，独立经营的营利性和非营利性 NH 收费相似，非营利性连锁机构的收费最高。当 NH 的入住率较高且市场更加集中时，调整后的价格也可能更高。组织和市场结构之间的显著价格差异表明，私人支付价格在评估和比较 NH 护理的价值时可能是一个重要因素。
Zotero 插件