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Innovation in nursing homes: which facilities are the early adopters?
1Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ 08901, USA. Castle_Nick@Hotmail.com
The Gerontologist
|May 1, 2001
Summary
Nursing homes with larger facilities, chain affiliation, and more private-pay residents are more likely to adopt innovations early. Market competition and county wealth also drive innovation adoption in the nursing home sector.
Area of Science:
- Gerontology
- Health Services Research
- Innovation Diffusion
Background:
- Early adoption of innovations in nursing homes is crucial for industry-wide diffusion.
- Understanding factors influencing early adoption can guide strategic implementation.
Purpose of the Study:
- To identify organizational and market factors predicting early adoption of innovations in nursing homes.
- To inform strategies for promoting innovation in the long-term care sector.
Main Methods:
- Analysis of nationally representative data from 13,162 nursing facilities.
- Discrete-time logistic regression used for data analysis over twelve 6-month intervals (1992-1997).
- Examined adoption of special care units and subacute care services.
Main Results:
- Larger nursing home bed size, chain membership, and a higher proportion of private-pay residents were associated with early adoption.
- Market factors linked to early adoption include retrospective Medicaid reimbursement, higher market competition, greater county income, and more local hospital beds.
Conclusions:
- Nursing home organizational and market characteristics significantly influence the propensity for early innovation adoption.
- Findings can assist administrators and policymakers in fostering innovation within nursing facilities.
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