<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Di Giorgio, Laura</dc:creator>
  <dc:creator>Filippini, Massimo</dc:creator>
  <dc:creator>Masiero, Giuliano</dc:creator>
  <dc:date>2015</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">Population aging is challenging governments to find new solutions to finance the  increasing demand for nursing home care and slow down the increase in  expenditures. In this light, many European countries are currently considering reforms  to increase efficiency in the provision of nursing home services. One popular  restructuring policy is the transformation of public organizations into private nonprofit  organizations. The underlying assumption is that private nonprofit nursing homes are  more efficient than public nursing homes. However, there is limited empirical evidence  to support this view. This analysis aims to contribute to the evidence base on this  issue by investigating the impact of the organizational form on the costs of nursing  homes. We use a sample of 45 nursing homes from one Swiss canton over a 5-year  period (2001-2005). The applied estimation strategy provides more accurate  estimates as compared to previous studies. In particular, we distinguish between cost  differences that are under the control of the managers from those that are not  (structural). Our findings suggest that public nursing homes are more costly than  private nursing homes, although the difference is small. This cost difference is mainly  driven by structural rather than managerial costs. Therefore, cost-reducing policies  that promote private nonprofit nursing homes are expected to reduce costs only  slightly.</dc:description>
  <dc:format>application/pdf</dc:format>
  <dc:identifier>https://n2t.net/ark:/12658/srd1318687</dc:identifier>
  <dc:identifier>https://susi.usi.ch/global/documents/318687</dc:identifier>
  <dc:identifier>https://susi.usi.ch/documents/318687/files/DiGiorgio_EM_2015.pdf</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1016/j.econmod.2015.08.015</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/ark/12658/srd1318687</dc:relation>
  <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
  <dc:rights>License undefined</dc:rights>
  <dc:source>Economic Modelling. - Elsevier. - 2015, vol. 51, p. 289-298</dc:source>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Cost efficiency</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Nursing homes</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Nonprofit</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Ownership</dc:subject>
  <dc:subject>info:eu-repo/classification/udc/33</dc:subject>
  <dc:title xmlns:ns5="xml" ns5:lang="en">Structural and managerial cost differences in nonprofit nursing homes</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>