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养老院:与大型连锁机构的关联、质量及公私合作

Nursing Homes: Affiliation to Large Chains, Quality and Public-Private Collaboration.

作者信息

Aguiar-Díaz Inmaculada, Ruiz-Mallorquí María Victoria, González-López Valcarcel Beatriz

机构信息

Department of Financial Economy and Accounting, Faculty of Economy, Business and Tourism, University of Las Palmas de Gran Canaria, 35017 Las Palmas, Spain.

Department of Quantitative Methods for Economics and Management, Faculty of Economy, Business and Tourism, University of Las Palmas de Gran Canaria, 35017 Las Palmas, Spain.

出版信息

Healthcare (Basel). 2022 Jul 30;10(8):1431. doi: 10.3390/healthcare10081431.

DOI:10.3390/healthcare10081431
PMID:36011087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9408552/
Abstract

The objective of this paper was to estimate the influence of being affiliated with an NH chain on perceived consumer quality, and whether this relationship is affected by maintaining a collaboration agreement with public administrations. We used a combination of theoretical foundations: (1) From the consumer perspective, we focussed on online reviews of the quality of nursing homes (NHs); (2) from the industrial organisation literature, we proposed arguments regarding the advantages and disadvantages of belonging to a chain; (3) the theory of transaction costs was used to explain public-private collaboration. The study was carried out on a sample of 642 chain-affiliated Spanish NHs, with data from quality scores downloaded from the website topMayores.es. We distinguished between the six largest chains and the rest. We applied linear regression models. The results show that NHs affiliated with one of the largest NH chains obtained worse quality scores in the assessment made by users, although quality scores improved for the largest chains of NHs involved in an agreement with the public administration.

摘要

本文的目的是评估隶属于全国连锁养老院(NH)对消费者感知质量的影响,以及这种关系是否会受到与公共管理部门维持合作协议的影响。我们运用了多种理论基础:(1)从消费者角度出发,我们关注养老院质量的在线评论;(2)从产业组织文献中,我们提出了关于隶属于连锁机构的优缺点的观点;(3)交易成本理论用于解释公私合作。该研究以642家隶属于连锁机构的西班牙养老院为样本,数据来自从topMayores.es网站下载的质量评分。我们区分了六大连锁机构和其他机构。我们应用了线性回归模型。结果表明,隶属于最大的养老院连锁机构之一的养老院在用户评估中获得的质量评分较低,不过,与公共管理部门达成协议的最大的养老院连锁机构的质量评分有所提高。

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Med Care Res Rev. 2022 Feb;79(1):3-16. doi: 10.1177/10775587211014534. Epub 2021 May 24.
2
Arrangements with the NHS for providing healthcare services: do they improve financial performance of private for-profit hospitals in Spain?与英国国家医疗服务体系(NHS)就提供医疗服务所做的安排:它们是否改善了西班牙私立营利性医院的财务绩效?
Health Econ Rev. 2021 Mar 10;11(1):9. doi: 10.1186/s13561-021-00304-4.
3
Examination of nursing home financial distress via Porter's five competitive forces framework.通过波特五力竞争框架审视养老院财务困境
Health Care Manage Rev. 2021;46(3):E50-E60. doi: 10.1097/HMR.0000000000000297. Epub 2020 Nov 12.
4
Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting.将患者安全文化与养老院环境下的质量评级联系起来。
J Appl Gerontol. 2022 Jan;41(1):73-81. doi: 10.1177/0733464820969283. Epub 2020 Nov 6.
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Certificate-Of-Need Regulation and Healthcare Service Quality: Evidence from the Nursing Home Industry.需求证明监管与医疗服务质量:来自养老院行业的证据
Healthcare (Basel). 2020 Oct 23;8(4):423. doi: 10.3390/healthcare8040423.
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