文章基本信息

标题：Certificate-Of-Need Regulation and Healthcare Service Quality: Evidence from the Nursing Home Industry
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作者：Bichaka Fayissa ; Saleh Alsaif ; Fady Mansour 等
期刊名称：Healthcare
电子版ISSN：2227-9032
出版年度：2020
卷号：8
期号：4
页码：423-437
DOI：10.3390/healthcare8040423
出版社：MDPI Publishing
摘要：This quantitative study investigates the effect of certificate-of-need (CON) regulation on the quality of care in the nursing home industry. It uses county-level demographic data from the 48 contiguous US states that are extracted from the American Community Survey (ACS) and cover the years 2012, 2013, and 2014. In doing so, it employs a new set of service quality variables captured from a variety of county-level data sources. Instrumental variables results indicate that health survey scores for nursing homes that are computed by healthcare professionals are about 18–24% lower, depending on the type of nursing home under consideration, in states with CON regulation. We also find that the presence of CON regulation leads to a substitution of lower-quality certified nursing assistant care for higher-quality licensed practical nurse care, regardless of the type of nursing home under consideration.
关键词：certificate-of-need regulation; service quality; theory of economic regulation; nursing homes; health economics certificate-of-need regulation ; service quality ; theory of economic regulation ; nursing homes ; health economics