Since 2014
Provider category and quality of care in the Norwegian nursing home industry
Nordic Journal of Health Economics
View Archive Info| Field | Value | |
| Title |
Provider category and quality of care in the Norwegian nursing home industry
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| Creator |
Hole, Astri Drange; Choice Lab, Norwegian School of Economics, Bergen, Norway
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| Subject |
Economics, Health
quality of care, nursing home industry, exposure to competition, provider categories, competitive factors, privatization H42, H43, H53, H75, I11, I18, J14 |
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| Description |
This paper examines empirically if there is a link between quality of care in the Norwegian nursing home industry and exposure of the industry to competition. Exposing public care to competition implies that the responsibility for providing care services is shared between public authorities and private actors. In Norway, exposure to competition means tender competition. Suppliers bid for a contract issued by the Norwegian authorities for a limited number of years. Quality of care in an institution is the major competitive factor. The provider categories of elderly care are: 1) care provided by institutions run by municipalities, 2) care provided by institutions run by private companies, which have won a tender competition, 3) care provided by institutions run by private companies owned by private families, voluntary religious or idealistic organizations. Nurse-to-patient ratio is used as a proxy for quality of care. The regression analysis indicates a relationship between quality of care and exposure to competition. The quality of care in provider category 2 is significantly lower than in provider category 1, but there are more variations in the quality of care in provider category 1 than in provider category 2. We find the lowest quality of care in provider category 1. There is also a relationship between the quality of care in an institution and the educational level of the staff, the location, the workforce, and the size of an institution. Finally, there is a relationship between the quality of care in an institution and the real and the required capacity, and the financial status in a region.Published: Online February 2016. In print August 2016.
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| Publisher |
University of Oslo
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| Contributor |
—
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| Date |
2016-08-13
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| Type |
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion Peer-reviewed Article |
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| Format |
application/pdf
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| Identifier |
https://www.journals.uio.no/index.php/NJHE/article/view/848
10.5617/njhe.848 |
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| Source |
Nordic Journal of Health Economics; Vol 4, No 2 (2016): Nordic Journal of Health Economics; pp. 57-71
1892-9710 1892-9729 |
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| Language |
eng
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| Relation |
https://www.journals.uio.no/index.php/NJHE/article/view/848/3072
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| Rights |
Authors who publish with this journal agree to the following terms:Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
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