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The rise of human service chains: antecedents to acquisitions and their effects on the quality of care in US nursing homes

dc.contributor.authorBanaszak-Holl, Janeen_US
dc.contributor.authorBerta, Whitney B.en_US
dc.contributor.authorBowman, Dilys M.en_US
dc.contributor.authorBaum, Joel A. C.en_US
dc.contributor.authorMitchell, Willen_US
dc.date.accessioned2006-04-19T13:42:49Z
dc.date.available2006-04-19T13:42:49Z
dc.date.issued2002-06en_US
dc.identifier.citationBanaszak-Holl, Jane; Berta, Whitney B.; Bowman, Dilys M.; Baum, Joel A.C.; Mitchell, Will (2002)."The rise of human service chains: antecedents to acquisitions and their effects on the quality of care in US nursing homes." Managerial and Decision Economics 23(4-5): 261-282. <http://hdl.handle.net/2027.42/34623>en_US
dc.identifier.issn0143-6570en_US
dc.identifier.issn1099-1468en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/34623
dc.description.abstractThis paper studies acquisitions of nursing home facilities by chains. We first test alternative ‘cream-skimming’ and ‘turn-around’ arguments concerning nursing home acquisitions. We then consider post-acquisition changes in nursing home health performance, differentiating effects of the acquisition process from those of prior strategy and performance of the acquired home and acquiring chain. Our dynamic empirical analysis of more than 5000 acquisitions by US nursing home chains from 1991 through 1997 shows that nursing home chain acquisitions are driven by a turn around logic, and that performance depends on the prior quality of the target and acquirer. Our analysis is relevant to policy on the nursing home sector, helping clarify why certain homes are acquired and how being acquired affects their residents' welfare. At a more general level, we offer insights concerning strategic factors that promote acquisition and drive expansion of service sector chains. Copyright © 2002 John Wiley & Sons, Ltd.en_US
dc.format.extent306190 bytes
dc.format.extent3118 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.language.isoen_US
dc.publisherJohn Wiley & Sons, Ltd.en_US
dc.subject.otherBusiness, Finance & Managementen_US
dc.titleThe rise of human service chains: antecedents to acquisitions and their effects on the quality of care in US nursing homesen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelEconomicsen_US
dc.subject.hlbtoplevelBusinessen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USAen_US
dc.contributor.affiliationumDepartment of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USAen_US
dc.contributor.affiliationotherDepartment of Health Administration, University of Toronto, Toronto, Ont., Canadaen_US
dc.contributor.affiliationotherRotman School of Management, University of Toronto, Toronto, Ont., Canadaen_US
dc.contributor.affiliationotherThe Fuqua School of Business, Duke University, Durham, NC, USA ; The Fuqua School of Business Duke University, Box 91020, Durham, NC 27708-0120, USAen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/34623/1/1065_ftp.pdfen_US
dc.identifier.doihttp://dx.doi.org/10.1002/mde.1065en_US
dc.identifier.sourceManagerial and Decision Economicsen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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