Please use this identifier to cite or link to this item:
Title: Nursing homes: affiliation to large chains, quality and public–private collaboration
Authors: Aguiar Díaz, Inmaculada 
Ruiz Mallorquí, María Victoria 
González Lopez-Valcarcel, Beatriz 
UNESCO Clasification: 531104 Organización de recursos humanos
531207 Sanidad
Keywords: Commissioning
Largest Chains
Nursing Homes
Issue Date: 2022
Journal: Healthcare (Switzerland)
Abstract: The objective of this paper was to estimate the influence of being affiliated with an NH chain on perceived consumer quality, and whether this relationship is affected by maintaining a collaboration agreement with public administrations. We used a combination of theoretical foundations: (1) From the consumer perspective, we focussed on online reviews of the quality of nursing homes (NHs); (2) from the industrial organisation literature, we proposed arguments regarding the advantages and disadvantages of belonging to a chain; (3) the theory of transaction costs was used to explain public–private collaboration. The study was carried out on a sample of 642 chain-affiliated Spanish NHs, with data from quality scores downloaded from the website We distinguished between the six largest chains and the rest. We applied linear regression models. The results show that NHs affiliated with one of the largest NH chains obtained worse quality scores in the assessment made by users, although quality scores improved for the largest chains of NHs involved in an agreement with the public administration.
ISSN: 2227-9032
DOI: 10.3390/healthcare10081431
Source: Healthcare (Switzerland)[EISSN 2227-9032],v. 10 (8), (Agosto 2022)
Appears in Collections:Artículos
Adobe PDF (151,39 kB)
Show full item record

Google ScholarTM




Export metadata

Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.