Hostname: page-component-cb9f654ff-rkzlw Total loading time: 0 Render date: 2025-08-25T13:14:57.825Z Has data issue: false hasContentIssue false
  • English
  • Français

Rural-Urban Differences in Nursing Home Access, Quality and Cost

Published online by Cambridge University Press:  28 April 2015

Wei Yu  and
Garnett Bradford
Wei Yu
Affiliation:
School of Gerontology, Boston University
Garnett Bradford
Affiliation:
Clemson University
Get access Rights & Permissions [Opens in a new window]

Abstract

Rural-urban differences in the supply of nursing home services are hypothesized to be jointly affected by competitive and regulatory forces, government policies, and the cost structure. Study findings indicate that rural services are slightly less accessible and lower in quality. A translog cost share function reveals no difference in the operating cost structure of rural and urban homes. Cost shares for nursing care are directly related to the degree of skilled nursing provided by homes. Significant scale economies were not detected for any of the major operating costs.

Keywords

rural health carenursing homescost structure

Information

Type
Articles
Information
Journal of Agricultural and Applied Economics , Volume 27 , Issue 2 , December 1995 , pp. 446 - 459
Copyright
Copyright © Southern Agricultural Economics Association 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Davis, M. “Nursing Home Quality: A Review and Analysis.” Medical Care Review. 48(2) (Summer 1991). 129-66.CrossRefGoogle ScholarPubMed
Day, P. and Klein, R.. “The Regulation of Nursing Homes: A Comparative Perspective.” The Milbank Quarterly Health and Society. 65 (1987). 233-39.Google ScholarPubMed
Feldstein, P. J. Health Care Economics. Albany, New York: Delmar Publishers Inc., 1993.Google Scholar
Henry, M., Barkley, D.L. and Bao, S.. “Using GIS to Delineate Functional Economic Areas: Some Results for South Carolina.” Invited paper, 39th North American Meetings of Regional Science Association International, Department of Agricultural and Applied Economics, Clemson University, South Carolina, July 1993.Google Scholar
Holahan, J. and Cohen, J.. “Nursing Home Reimbursement: Implication for Cost Containment, Access and Quality.” The Milbank Quarterly Health and Society. 65(1987). 112-47.CrossRefGoogle ScholarPubMed
Letsch, S. W., Lazerby, H.C., Levit, R.K., and Cowan, C. A.. “National Health Expenditures, 1991.” Health Care Financing Review. 14:2 (Winter 1992). 1–30.Google Scholar
McCall, N., Knickman, J., and Bauer, E. J.. “A New Approach to Long-Term Care.” Health Affairs. 10 (1991). 164-73.CrossRefGoogle ScholarPubMed
McKay, N. L. “A Econometric Analysis of Costs and Scale Economies in the Nursing Home Industry.” The Journal of Human Resources 23(1) (Winter 1988): 57–75.CrossRefGoogle Scholar
Morford, T. G. “Nursing Home Regulation: History and Expectations.” Health Care Financing Review. Annual Supplement (1988). 129-32.Google Scholar
Raffel, M. W. and Raffel, N. H.. The U.S. Health System - Origins and Functions. Albany, N.Y.: Delmar Publishers Inc., 1994.Google Scholar
Ray, W. A., Federspeil, C. F., Baugh, D. D., and Dodds, S.. “Impact of Growing Number of the Very Old or Medicaid Expenditures for Nursing Homes: A Multi-State, Population-Based Analysis.” Amer. J. of Public Health. 11 (1987). 699–703.CrossRefGoogle Scholar
Scanlon, W.J. “Possible Reforms for Financing Long-Term Care.” J. of Econ. Perspectives. 6 (1992). 43–58.CrossRefGoogle ScholarPubMed
Scanlon, W. and Weissert, W.. “Nursing Home Cost Function Analysis: A Critique.” Health Services Research. 18:3 (Fall 1983). 387-91.Google Scholar
Schlenker, R. E. and Shaughnessy, P. W.. “Case Mix Quality, and Cost Relationships in Colorado Nursing Homes.” Health Care Financing Review. 6:2 (1984). 261-71.Google ScholarPubMed
Schneider, D.P., Fries, B.E., Foley, W.J., Desmond, M., and Gormley, W. J.. “Case Mix for Nursing Home Payment: Resource Utilization Groups, Version II.” Health Care, Financing Review. Annual Supplement (1988). 39–52.Google ScholarPubMed
South Carolina, State Health and Human Services Finance Commission. “Nursing Facility Medicaid Rate Setting Methodology.” Unpublished Monograph. October, 1993.Google Scholar
South Carolina, Department of Health and Environment Control. Assorted Unpublished Notes. 1993, 1994.Google Scholar
Swan, J. H., Harrington, C., and Grant, L. A.. “State Medicaid Reimbursement for Nursing Homes, 197886.” Health Care Financing Review. 9:3 (Spring 1988). 33–50.Google ScholarPubMed
Ullmann, S. C. “Ownership, Regulation, Quality Assessment, and Performance in the Long-Term Health Care Industry.” The Gerontologist. 27(1987). 233-39.CrossRefGoogle ScholarPubMed
Yu, W., Bradford, G.L. and Evatt, M.. “Structure of Nursing Home Operating Costs and Impact of Reimbursement Policy.” Research Progress Report No. 5, Department of Agricultural and Applied Economics, Clemson University, South Carolina, July 1993.Google Scholar
Zellner, A. “An Efficient Method of Estimating Seemingly Unrelated Regressions and Tests for Aggregation Bias.” J. of the Amer. Statistical Association. 57(June 1962). 348-68.CrossRefGoogle Scholar