Does the Profit Motive Matter? COVID-19 Prevention and Management in Ontario Long-Term-Care Homes.

ABSTRACT: 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

SUBMITTER: Pue K 

PROVIDER: S-EPMC9400825 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature