Public/private ownership and quality of care: Evidence from Danish nursing homes

Hjelmar, Ulf; Bhatti, Yosef; Petersen, Ole Helby; Rostgaard, Tine; Vrangbæk, Karsten

doi:10.1016/j.socscimed.2018.09.029

Cited by 32 publications

(25 citation statements)

References 27 publications

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“…This trend is already operationalized in other countries, as studies in the United States (5) , England (6) and Denmark (7) point out, with the State responding less and less to public LTIEs and becoming the majority purchaser and regulator of a private system services.…”

Section: Discussionmentioning

confidence: 99%

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Experience of nurse entrepreneurs in long term institutions for elderly people

2020

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Objective: To understand the nurse entrepreneur experience in long term institutions for elderly (LTIE) and to elaborate a theorical model regarding that experience process. Methods: Qualitative research with theorical saturation, through analysis of the 10th nondirective interview, audio-recorded and transcribed, according to the Grounded Theory, with nurses in activity and those who had to quit the business. Results: Three subprocesses emerged: (A) looking at the LTIE as a promising business to offer to the aging population; (B) discovering herself/himself without entrepreneur training/experience to carry on a social enterprise; (C) changing from preservation, expansion, and finally business discontinuance. The core category (process) was abstracted from the realignment of those subprocesses components: From the dream to expansion, preservation, and business abandonment: nurse training/experience for social enterprise as an intervening component. Final considerations: In light of the Business Model Canvas, it showed the experiential process little instrumented by the fundamentals of business management, to support the proposal, overview and altering business.

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Section: Discussionmentioning

confidence: 99%

“…(d) the LTIE business as an opportunity, in the same way as in other countries (5,7) , Brazilian nurses have undertaken the business to provide services for the binomial family-elderly.…”

Section: Introductionmentioning

confidence: 99%

Experience of nurse entrepreneurs in long term institutions for elderly people

2020

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“… 2 – 4 Studies in Nordic countries do not unequivocally support these findings. 5 , 6 Further research is needed on how for-profit ownership affects care quality in Dutch nursing homes.…”

Section: Discussionmentioning

confidence: 99%

“…1 For-profit nursing homes have received considerable attention from scholars, mainly with regard to their performance in comparison to nonprofit and public organizations. 2 – 7 Research on factors that explain the role of for-profit organizations in the nursing home industry is less advanced. Although literature on the nonprofit enterprise offers helpful insights about factors that might shape the organizational makeup of sectors, scholars also state that “there is very little understanding of the dynamic forces causing the expansion of the [nonprofit or for-profit] sector into areas long dominated by the other.” 8 (p544), 9 (p63)…”

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confidence: 99%

For-Profit Nursing Homes in the Netherlands: What Factors Explain Their Rise?

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Jeurissen³

2020

Int J Health Serv

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This exploratory, mixed-methods study analyzes characteristics of the emerging for-profit nursing home industry in the Netherlands and identifies the interrelated set of factors (context, trends, and sector conditions) that contribute to its growth. Until recently, the Dutch nursing home sector relied almost exclusively on nonprofit providers. Even though profit distribution in nursing home care is still banned, the for-profit nursing home sector is expanding. The study uses economic theory on nonprofit organizations and mixed-form markets to understand this expansion. We find that changes in the regulatory framework have unlocked the potential of the for-profit nursing home sector, enabling for-profit nursing homes to circumvent the for-profit ban. The expansion of the for-profit sector was mainly driven by the low responsiveness of the nonprofit sector to increased and changed demands. For-profit providers took advantage of this void. Moreover, they exploited “cream-skimming” potential in the market and used the wider care system to reduce their labor costs by relying on external specialist care. Another main driver was the access to financial capital from private investors (e.g., private equity firms).

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“…In Denmark, the majority of nursing homes are owned and run by the municipalities (public). However, more self-governing (non-profit) and private (for-profit) nursing homes are emerging (Hjelmar et al, 2016 ). A private nursing home has no operational agreement with the local municipality.…”

Section: Design and Methodsmentioning

confidence: 99%