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Marketization in Long-Term Care: A Cross-Country Comparison of Large For-Profit Nursing Home Chains

机译：长期护理市场化：大型营利性养老院链的跨国比较

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This article presents cross-country comparisons of trends in for-profit nursing home chains in Canada, Norway, Sweden, United Kingdom, and the United States. Using public and private industry reports, the study describes ownership, corporate strategies, costs, and quality of the 5 largest for-profit chains in each country. The findings show that large for-profit nursing home chains are increasingly owned by private equity investors, have had many ownership changes over time, and have complex organizational structures. Large for-profit nursing home chains increasingly dominate the market and their strategies include the separation of property from operations, diversification, the expansion to many locations, and the use of tax havens. Generally, the chains have large revenues with high profit margins with some documented quality problems. The lack of adequate public information about the ownership, costs, and quality of services provided by nursing home chains is problematic in all the countries. The marketization of nursing home care poses new challenges to governments in collecting and reporting information to control costs as well as to ensure quality and public accountability.
机译：本文介绍了加拿大，挪威，瑞典，英国和美国的营利性养老院链趋势的跨国比较。该研究使用公共和私人行业报告，描述了每个国家5个最大的营利性链条的所有权，公司战略，成本和质量。调查结果表明，大型的以营利为目的的养老院链越来越多地由私募股权投资者拥有，随着时间的推移所有权发生了许多变化，并且组织结构复杂。大型的以营利为目的的养老院连锁店日益占据市场主导地位，其战略包括将财产与运营分离，多样化，扩展到许多地方以及使用避税天堂。通常，这些连锁店的收入很高，利润率很高，并且有一些已记录的质量问题。在所有国家中，缺乏关于养老院连锁店提供的所有权，成本和服务质量的充分公共信息，这是一个问题。养老院的市场化对政府收集和报告信息以控制成本以及确保质量和公共责任制提出了新的挑战。

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