Market concentration, supply, quality and prices paid by local authorities in the English care home market

Pujol, Ferran Espuny; Hancock, Ruth; Hviid, Morten; Morciano, Marcello; Pudney, Stephen

doi:10.1002/hec.4286

Cited by 5 publications

(3 citation statements)

References 25 publications

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“…Even though this research does not include quality in empirical analysis, concerns related to the connection between market concentration and quality should not be neglected and should be taken into consideration by both managers and policymakers involved in formal institution LTC care (c.f. Espuny Pujol, Hancock, Hviid, Morciano, & Pudney, 2021;Hirth, et al, 2019;Castle, Engberg, & Liu, 2007, etc. ).…”

Section: Discussionmentioning

confidence: 99%

Market characteristics and entry strategy decision making: The market perspective of Croatian elderly care homes

Višić¹

2024

Strategic Management

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Background: Socio-demographic changes increase the need for long-term elderly care. Consequently, providing formal institutional service in elderly care homes is an interesting opportunity for entrepreneurs. However, the entry strategy decision is influenced by numerous external variables. Purpose: The main goal is to answer what determines market concentration as one of the most important market entry determinants. Study design/methodology/approach: A linear regression model has been formed and tested on the Croatian elderly care home market, observed on a county level, using data for 2021. Further, a cluster analysis, as a decision-support tool, has been made to assess market characteristics that are more likely to attract new entrants to the elderly care home market. Findings/conclusions: Results indicate that demand for long-term care services plays a significant role, and the market with more elderly will attract more competitors. When the level of GDP per capita and the unemployment rate are observed together, markets with stronger economies tend to attract entrepreneurs. In other words, it is more likely that someone will open an elderly care home in a densely populated county with individuals that can afford formal institutional long-term care for themselves or family members. Limitations/future research: The shortcomings are mainly related to the lack of data on prices and quality measures. Further, information on the number of beds in each elderly care home would enable an alternative calculation of the Herfindahl-Hirschman index, while data on service prices and structure of employees as a proxy for quality (medical and non-medical staff) would enable a more reliable comparative analysis of obtained results. Future studies on this subject include variables related to the portion of unemployed females in the market since female family members more often provide informal care, and at the same time, they are more likely to be employed in formal long-term care institutions.

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Section: Discussionmentioning

confidence: 99%

Market characteristics and entry strategy decision making: The market perspective of Croatian elderly care homes

Višić¹

2024

Strategic Management

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“…In England, the long-term care sector consists of primarily independent sector providers of care, with the large majority of them being for-profit[ 1 , 28 ].…”

Section: Methodsmentioning

confidence: 99%

Has COVID-19 changed carer's views of health and care integration in care homes? A sentiment difference-in-difference analysis of on-line service reviews

Almorox¹,

Stokes²,

Morciano³

2022

Health Policy

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“…With the units of organisation small for many providers, many care homes do not have the resources to create a dedicated HR team. In larger companies care homes are geographically dispersed, so it is hard for HR professionals to consistently supervise staff or implement best practice (Comondore et al, 2009;Competition and Markets Authority, 2017;Pujol et al, 2021).…”

Section: Search Termsmentioning

confidence: 99%

Care home co-worker relationships: a key ingredient for care home quality

Haunch,

Spilsbury

2023

Ageing and Society

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The relationships that care home staff have with their co-workers are a key influence on the way they feel about their work and how they perform in their roles. This has a direct influence on quality of care and life as experienced by residents. However, care home providers face a challenge to promote co-worker relationships because: (a) the care home workforce often lack human resource oversight; (b) registered managers (and nurses), who often lack leadership training, are tasked with managing the working relationships of staff, the majority of whom are care workers of different ages, ethnicity and cultural beliefs; and (c) most (care workers) do not have any formal qualifications and are not routinely provided with the communication skills to facilitate collaborative working in dynamic and pressured climates. In this forum article, we consider these challenges and their implications for collaborative co-worker relationships, before highlighting opportunities for research, policy and practice. An important starting point is to focus on developing the leadership skills of staff at all levels and provide care workers with the skills they require to manage their working relationships and support them in their everyday work for the benefit of residents.

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Market concentration, supply, quality and prices paid by local authorities in the English care home market

Cited by 5 publications

References 25 publications

Market characteristics and entry strategy decision making: The market perspective of Croatian elderly care homes

Market characteristics and entry strategy decision making: The market perspective of Croatian elderly care homes

Has COVID-19 changed carer's views of health and care integration in care homes? A sentiment difference-in-difference analysis of on-line service reviews

Care home co-worker relationships: a key ingredient for care home quality

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