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Does the Profit Motive Matter? COVID-19 Prevention and Management in Ontario Long-Term-Care Homes
We introduce evidence that for-profit long-term-care providers are associated with less successful outcomes in coronavirus disease 2019 outbreak management. We introduce two sets of theoretical arguments that predict variation in service quality by provider type: those that deal with the institution...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of Toronto Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9400825/ https://www.ncbi.nlm.nih.gov/pubmed/36039354 http://dx.doi.org/10.3138/cpp.2020-151 |
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author | Pue, Kristen Westlake, Daniel Jansen, Alix |
author_facet | Pue, Kristen Westlake, Daniel Jansen, Alix |
author_sort | Pue, Kristen |
collection | PubMed |
description | We introduce evidence that for-profit long-term-care providers are associated with less successful outcomes in coronavirus disease 2019 outbreak management. We introduce two sets of theoretical arguments that predict variation in service quality by provider type: those that deal with the institution of contracting (innovative competition vs. erosive competition) and those that address organizational features of for-profit, non-profit, and government actors (profit seeking, cross-subsidization, and future investment). We contextualize these arguments through a discussion of how contracting operates in Ontario long-term care. That discussion leads us to exclude the institutional arguments while retaining the arguments about organizational features as our three hypotheses. Using outbreak data as of February 2021, we find that government-run long-term-care homes surpassed for-profit and non-profit homes in outbreak management, consistent with an earlier finding from Stall et al. (2020). Non-profit homes outperform for-profit homes but are outperformed by government-run homes. These results are consistent with the expectations derived from two theoretical arguments—profit seeking and cross-subsidization—and inconsistent with a third—capacity for future investment. |
format | Online Article Text |
id | pubmed-9400825 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | University of Toronto Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-94008252022-08-25 Does the Profit Motive Matter? COVID-19 Prevention and Management in Ontario Long-Term-Care Homes Pue, Kristen Westlake, Daniel Jansen, Alix Can Public Policy The COVID-19 Pandemic/La Pandémie de COVID-19 We introduce evidence that for-profit long-term-care providers are associated with less successful outcomes in coronavirus disease 2019 outbreak management. We introduce two sets of theoretical arguments that predict variation in service quality by provider type: those that deal with the institution of contracting (innovative competition vs. erosive competition) and those that address organizational features of for-profit, non-profit, and government actors (profit seeking, cross-subsidization, and future investment). We contextualize these arguments through a discussion of how contracting operates in Ontario long-term care. That discussion leads us to exclude the institutional arguments while retaining the arguments about organizational features as our three hypotheses. Using outbreak data as of February 2021, we find that government-run long-term-care homes surpassed for-profit and non-profit homes in outbreak management, consistent with an earlier finding from Stall et al. (2020). Non-profit homes outperform for-profit homes but are outperformed by government-run homes. These results are consistent with the expectations derived from two theoretical arguments—profit seeking and cross-subsidization—and inconsistent with a third—capacity for future investment. University of Toronto Press 2021-09-01 2021-03-28 /pmc/articles/PMC9400825/ /pubmed/36039354 http://dx.doi.org/10.3138/cpp.2020-151 Text en © Canadian Public Policy / Analyse de politiques This article is made available via the PMC Open Access Subset for reuse and analysis with acknowledgement of the original source. |
spellingShingle | The COVID-19 Pandemic/La Pandémie de COVID-19 Pue, Kristen Westlake, Daniel Jansen, Alix Does the Profit Motive Matter? COVID-19 Prevention and Management in Ontario Long-Term-Care Homes |
title | Does the Profit Motive Matter? COVID-19 Prevention and Management in Ontario Long-Term-Care Homes |
title_full | Does the Profit Motive Matter? COVID-19 Prevention and Management in Ontario Long-Term-Care Homes |
title_fullStr | Does the Profit Motive Matter? COVID-19 Prevention and Management in Ontario Long-Term-Care Homes |
title_full_unstemmed | Does the Profit Motive Matter? COVID-19 Prevention and Management in Ontario Long-Term-Care Homes |
title_short | Does the Profit Motive Matter? COVID-19 Prevention and Management in Ontario Long-Term-Care Homes |
title_sort | does the profit motive matter? covid-19 prevention and management in ontario long-term-care homes |
topic | The COVID-19 Pandemic/La Pandémie de COVID-19 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9400825/ https://www.ncbi.nlm.nih.gov/pubmed/36039354 http://dx.doi.org/10.3138/cpp.2020-151 |
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