Literature DB >> 12067076

Use of resident-origin data to define nursing home market boundaries.

Jack Zwanziger1, Dana B Mukamel, Indridi Indridason.   

Abstract

Previous studies of nursing home markets have assumed that a nursing home's market is coincident with the boundaries of the county in which it is located. We test this assumption by using the zip code of residence for Medicare beneficiaries admitted into a nursing home in New York state in the periods 1992-93 and 1996-97. We find that nursing homes located in urban areas have markets that are a fraction of the size of the county in which they are located. We calculate the Herfindahl-Hirschman Index (HHI) to measure the competitiveness of each nursing home's market. This shows that nursing home markets tend to be more concentrated than those that result from assuming countywide markets. These results suggest that studies of nursing home markets should not use counties as markets.

Mesh：

Year:  2002        PMID： 12067076     DOI： 10.5034/inquiryjrnl_39.1.56

Source DB:  PubMed          Journal:  Inquiry        ISSN： 0046-9580            Impact factor:   1.730


  24 in total

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2.  Effect of educational level and minority status on nursing home choice after hospital discharge.

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Journal:  Am J Public Health       Date:  2006-05-30       Impact factor: 9.308

3.  Have Nursing Home Compare quality measure scores changed over time in response to competition?

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4.  Hospitalization of nursing home residents: the effects of states' Medicaid payment and bed-hold policies.

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Journal:  Health Serv Res       Date:  2007-08       Impact factor: 3.402

5.  Medicaid and Nursing Home Choice: Why Do Duals End Up in Low-Quality Facilities?

Authors:  Hari Sharma; Marcelo Coca Perraillon; Rachel M Werner; David C Grabowski; R Tamara Konetzka
Journal:  J Appl Gerontol       Date:  2019-04-08

6.  Making difficult decisions: the role of quality of care in choosing a nursing home.

Authors:  Irena Pesis-Katz; Charles E Phelps; Helena Temkin-Greener; William D Spector; Peter Veazie; Dana B Mukamel
Journal:  Am J Public Health       Date:  2013-03-14       Impact factor: 9.308

7.  Higher Medicare SNF care utilization by dual-eligible beneficiaries: can Medicaid long-term care policies be the answer?

Authors:  Momotazur Rahman; Denise Tyler; Kali S Thomas; David C Grabowski; Vincent Mor
Journal:  Health Serv Res       Date:  2014-07-22       Impact factor: 3.402

8.  The impact of hospital-based skilled nursing facility closures on rehospitalizations.

Authors:  Momotazur Rahman; Jacqueline S Zinn; Vincent Mor
Journal:  Health Serv Res       Date:  2012-10-04       Impact factor: 3.402

9.  The Effects of Medicare Advantage Contract Concentration on Patients' Nursing Home Outcomes.

Authors:  Momotazur Rahman; David J Meyers; Vincent Mor
Journal:  Health Serv Res       Date:  2018-10-23       Impact factor: 3.402

10.  Effect of nursing home ownership on hospitalization of long-stay residents: an instrumental variables approach.

Authors:  Richard A Hirth; David C Grabowski; Zhanlian Feng; Momotazur Rahman; Vincent Mor
Journal:  Int J Health Care Finance Econ       Date:  2014-03
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