Quality and Costs in the Nursing-Home Market

Steven G. Ullmann

Research output: Contribution to journalLetterpeer-review


To the Editor: In one of a series of articles appearing in the Journal concerning the nursing-home industry, Vladeck (Sept. 30 issue)1 indicates that there is an implicit assumption that a positive relation exists between the quality of resident care and facility costs. As Vladeck points out, however, there is no empirical evidence supporting this assumption. Nursing-home quality may be more a function of staff and administrative attitudes — characteristics that may be independent of facility costs. I recently conducted an extensive study of New York nursing homes and obtained interesting results concerning the relation between the quality of facilities.

Original languageEnglish (US)
Number of pages1
JournalNew England Journal of Medicine
Issue number11
StatePublished - Mar 17 1983

ASJC Scopus subject areas

  • Medicine(all)


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