Does Quality Influence Consumer Choice of Nursing Homes? Evidence from Nursing Home to Nursing Home Transfers

Richard A. Hirth, Jane C. Banaszak-Holl, Brant E. Fries, Marc N. Turenne

Research output: Contribution to journalArticleResearchpeer-review

19 Citations (Scopus)


We estimated Cox proportional hazards models using assessment data from the Minimum Data Set to test whether nursing home residents and their proxies respond to quality of care by changing providers. Various indicators of poor quality increased the likelihood of transfer. Residents of for-profit homes or homes with excess capacity also were more likely to transfer. Inability to participate in care decisions and factors indicating frailty limited residents' ability to transfer. The apparent responsiveness to quality is encouraging. Nonetheless, because the absolute transfer rate is low, significant barriers to movement among nursing homes still may exist.

Original languageEnglish
Pages (from-to)343-361
Number of pages19
JournalINQUIRY: The Journal of Health Care Organization, Provision, and Financing
Issue number4
Publication statusPublished - 1 Jan 2003

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