Making difficult decisions: The role of quality of care in choosing a nursing home

I. Pesis-Katz, C.E. Phelps, H. Temkin-Greener, W.D. Spector, P. Veazie and D.B. Mukamel

American Journal of Public Health, 2013, vol. 103, issue 5, e31-e37

Abstract: Objectives. We investigated how quality of care affects choosing a nursing home. Methods. We examined nursing home choice in California, Ohio, New York, and Texas in 2001, a period before the federal Nursing Home Compare report card was published. Thus, consumers were less able to observe clinical quality or clinical quality was masked. We modeled nursing home choice by estimating a conditional multinomial logit model. Results. In all states, consumers were more likely to choose nursing homes of high hotel services quality but not clinical care quality. Nursing home choice was also significantly associated with shorter distance from prior residence, not-forprofit status, and larger facility size. Conclusions. In the absence of quality report cards, consumers choose a nursing home on the basis of the quality dimensions that are easy for them to observe, evaluate, and apply to their situation. Future research should focus on identifying the quality information that offers the most value added to consumers.

Keywords: aged; article; clinical competence; decision making; financial management; health care delivery; health care facility; health care quality; human; information dissemination; nursing home; organization and management; quality of life; standard; statistical model; United States; very elderly, Aged; Aged, 80 and over; California; Choice Behavior; Clinical Competence; Financing, Personal; Health Facility Environment; Health Services Accessibility; Humans; Information Dissemination; Logistic Models; New York; Nursing Homes; Ohio; Ownership; Quality Indicators, Health Care; Quality of Health Care; Quality of Life; Texas (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301243_3

DOI: 10.2105/AJPH.2013.301243

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