In: Economic Modelling, 2015, vol. 51, p. 289-298
Population aging is challenging governments to find new solutions to finance the increasing demand for nursing home care and slow down the increase in expenditures. In this light, many European countries are currently considering reforms to increase efficiency in the provision of nursing home services. One popular restructuring policy is the transformation of public organizations into private...
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We investigate the relationship between costs and quality in nonprofit nursing homes, a key issue in the present context of cost containment measures. In accordance with the economic theory of production, we estimate a three-inputs total cost function for nursing home services using data from 45 nursing homes in Switzerland between 2006 and 2010. Quality is measured by means of clinical...
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In: Health policy, 2014, vol. 115, no. 2-3, p. 237–248
Nursing homes; prospective payment; quality of care; policy change
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Thèse de doctorat : Università della Svizzera italiana, 2013 ; 2013ECO002.
Public provision of institutionalized long term care will pose an increasing challenge to the sustainability of public finances. Population ageing has been recognized as one of the main factors driving health care costs increase in Europe and is expected to further raise the demand of nursing home care. To ensure a sustainable system in the next decades, policymakers need evidence on the...
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Pressure on health care systems due to the increasing expenditures of the elderly population is pushing policy makers to adopt new regulation and payment schemes for nursing home services. We sketch a simple theoretical model to predict the behavior of nursing homes under different payment schemes. We then investigate the implications of prospective payments on nursing home costs using a...
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In Switzerland, nursing home services are mainly provided by regulated public and private nonprofit organizations. Some of them are created by local governments as foundations. This provides a unique setting to analyze the impact of the institutional form on the performance of nursing homes. We propose a model where the institutional form is represented as a legal constraint which affects...
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