TY - JOUR
T1 - Does Quality Influence Consumer Choice of Nursing Homes? Evidence from Nursing Home to Nursing Home Transfers
AU - Hirth, Richard A.
AU - Banaszak-Holl, Jane C.
AU - Fries, Brant E.
AU - Turenne, Marc N.
PY - 2003/1/1
Y1 - 2003/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=1642264974&partnerID=8YFLogxK
U2 - 10.5034/inquiryjrnl_40.4.343
DO - 10.5034/inquiryjrnl_40.4.343
M3 - Article
AN - SCOPUS:1642264974
SN - 0046-9580
VL - 40
SP - 343
EP - 361
JO - INQUIRY: The Journal of Health Care Organization, Provision, and Financing
JF - INQUIRY: The Journal of Health Care Organization, Provision, and Financing
IS - 4
ER -
