Estimating the health value added by nursing homes

Bär, Marlies; Bakx, Pieter; Wouterse, Bram; Doorslaer, Eddy van

doi:10.1016/j.jebo.2022.08.028

Cited by 4 publications

(2 citation statements)

References 64 publications

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“…Some studies have shown that homes operated by providers of two or more homes tend to have a lower quality of care (QoC) relative to standalone homes, [5][6][7][8][9] yet others have found no such association. [10][11][12] These inconsistent findings reflect challenges in attributing cross-sectional variation in QoC outcomes to differences in provider scale, given that the ownership of the vast majority of homes remains stable year-to-year.…”

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confidence: 99%

Quality effects of home acquisitions in residential aged care

Sutton,

Ma,

Yang

et al. 2024

Australas J Ageing

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ObjectiveThe recent consolidation of the Australian residential aged care market has raised concerns about the potential adverse effects of acquisition activity on quality of care (QoC). We examined changes in QoC outcomes within acquired homes and the influence of the acquiring providers' characteristics on these post‐acquisition outcomes.MethodsA retrospective observational study was conducted using de‐identified data sets obtained under the legal authority of the Royal Commission into Aged Care Quality and Safety. Regression analysis was used to investigate post‐acquisition changes in QoC outcomes for 225 Australian home acquisitions between 2015 and 2019. The outcomes were analysed for the first two full financial years before and after the acquisition.ResultsAfter controlling for other factors, we find acquired homes were associated with significantly worse QoC outcomes in the 2 years after acquisition, with higher rates of hospitalisations and reported complaints to the regulator. However, these results were driven by homes acquired by providers that were smaller in scale, for‐profit or had comparatively poorer average quality across the other homes they operated.ConclusionsOur finding that homes' QoC on average declines in the first 2 years following acquisition, are consistent with studies in other countries and points to the potential risks that consolidation poses to the care delivered to older people in Australia during that period.

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confidence: 99%

Quality effects of home acquisitions in residential aged care

Sutton,

Ma,

Yang

et al. 2024

Australas J Ageing

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“…For elderly who cannot live independently but need less intensive care, residential care homes provide assisted living (Kok et al, 2015). The institutions have to adhere to strict guidelines on high quality of care (Bär et al, 2022).…”

Section: Public Ltc In the Netherlands 2009-2014mentioning

confidence: 99%

Health Risks in Old Age

van der Vaart

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Together with my father, I visited the Bachelor's Open Day of the University of Groningen in Autumn 2013 to learn more about the Econometrics & Operations Research program. I cherish great memories of my father's support, especially now, some ten years later, having completed this wonderful program and even my PhD thesis. On the rough path to obtaining my PhD, I have been blessed with two of the greatest sources of wealth: love and support from others. The supervision by Max, Raun, and Rob has been indispensable for my development as a researcher, but above all, as a person. We have known each other for about seven years now and much has happened in the meantime. I was first your research master student and thereafter your PhD candidate. The so many shared memories make me regularly realize: you have a special place in my heart. Many other colleagues have also provided me with much guidance and support. Gerard, we have known each other for years, and we worked together successfully on the final chapter of my dissertation. Jochen & Viola, you have meant much to me both in the fore-and background, thereby opening doors for me that would otherwise remain closed. Agnieszka, what many may not know is that you supervised my bachelor's thesis and, together with Raun, advised me to pursue a research master's degree. Orest, under your guidance, I have been able to develop as a teacher, a role that brings me great satisfaction. I am very grateful to you and the many other colleagues that have guided me in the right direction. In Spring 2022, I visited the University of Copenhagen. The stay taught me a lot about how other researchers work and what it is like to stand on my own feet. Søren, and everyone who is involved in the Center for Economic Behavior and Inequality (CEBI), your hospitality and help make me recommending anyone to visit CEBI and Denmark. Stefano, it was very enjoyable to spend time with you outside of work as well, it was the icing on the cake. Research schools and -networks have played an important role in my career. The support from the back office, the research funding, the conferences, and the nice events organized by FEBRI have definitely improved my work. The same applies to the research network Netspar, which I have been part of for many years now. Especially, Marike and Lieke, I have often met you there, and greatly appreciate your endless help and encouragement. Lastly, I would like to thank the collaborations within the Centre for Public Health in Economics and Business (CPHEB) and Aletta's Talent Network (ATN). I experienced the board tasks and meetings to be a welcome broadening of my horizon. A supportive environment is indispensable for bringing out the best in each other, day in and day out. My fellow PhD candidates, fellow research master students, and office mates have made me feel part of a group of friends. Also my friends outside of academia have supported me with more than just research. We have had great times throughout all the years we have known each other. These bonds continue to ...

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