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Reorganizing the nursing home industry: a proposal
The Milbank Memorial Fund Quarterly. Health and Society
|January 1, 1976
Summary
This study proposes government ownership of nursing home facilities, managed via private contracts. This model aims to improve care quality by leveraging market forces, contrasting with current private ownership challenges.
Area of Science:
- Health Services Management
- Health Economics
- Public Policy
Background:
- Current private ownership of nursing home capital facilities presents financial barriers to high-quality care.
- Existing regulatory frameworks may not adequately incentivize quality improvement in the nursing home sector.
Purpose of the Study:
- To propose a novel organizational structure for the nursing home industry.
- To demonstrate how real estate finance principles impact care quality in nursing homes.
- To advocate for a system where market forces support, rather than hinder, quality care.
Main Methods:
- Analysis of real estate finance implications within the nursing home industry.
- Conceptual model development for industry reorganization.
- Comparative analysis of regulatory and market-driven quality incentives.
Main Results:
- Private ownership of capital facilities inherently creates obstacles to delivering superior nursing home care.
- A proposed model shifts facility ownership to government while utilizing private sector management through competitive contracts.
- Market forces can be aligned to enhance, not detract from, care quality under the proposed structure.
Conclusions:
- Reorganizing nursing home ownership and management can foster improved quality of care.
- A government-owned, privately-managed model with competitive contracting offers a viable alternative.
- Reduced regulation within this new framework may enhance efficiency and quality outcomes.