Does outsourcing enable the survival of good care homes? A longitudinal analysis of all care homes in England, 2011-2023.

ABSTRACT:

Background

It is unclear whether outsourcing has enabled the growth and survival of the best care homes, as intended. We aimed to test whether ownership (for-profit, public and third sector (non-profit)) influences determinants of closure among all care homes in England, 2011-2023.

Methods

We created a dataset of all care homes from 2011 to 2023 (29 548 care homes and 8346 closures) and Care Quality Commission inspections from 2014 to 2023 (n=65 726). Using logistic regression, we investigated determinants of care home closures including care home characteristics (eg, number of beds), service registrations (eg, dementia and nursing), quality (inspection ratings) and area deprivation. We then tested for interaction effects; specifically exploring (1) whether the determinants

SUBMITTER: Bach-Mortensen AM 

PROVIDER: S-EPMC11816439 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature