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Sociosanitary Legal and Economic Aspects in Nursing Homes for the Elderly in Spain

Author

Listed:
  • Cristina Vilaplana-Prieto

    (Department of Fundamentals of Economic Analysis, Faculty of Economics and Business, University of Murcia, 30120 Murcia, Spain)

  • Carmelo S. Gómez Martínez

    (Faculty of Nursing, Universidad Católica de Murcia (UCAM), 30107 Murcia, Spain)

  • Paloma Echevarría Pérez

    (Faculty of Nursing, Universidad Católica de Murcia (UCAM), 30107 Murcia, Spain)

  • Isabel Legaz

    (Department of Legal and Forensic Medicine, Faculty of Medicine, Biomedical Research Institute (IMIB), Regional Campus of International Excellence Campus Mare Nostrum, University of Murcia, 30100 Murcia, Spain)

Abstract

Aim: The study aimed to identify and compare aspects of the different Spanish regulations on the minimum conditions that nursing homes must meet and to compare whether these requirements significantly affect the price of a nursing home place in each region. Methods: We analyzed and compared the 17 regional regulations that must be met by nursing homes in terms of equipment and social and healthcare staff and combined this information with regional information concerning the price and coverage of public and subsidized places in nursing homes. Results: The study revealed significant regional inequality in physical facilities and human resources. However, the number of regulatory measures referring to the mandatory availability of physical space or specific material resources was not positively correlated with an increase in the price of a place in a public or subsidized nursing home. Conclusions: No unified regulations throughout Spain regulate the aspects that residential centers must comply with. There is a need to move towards a person-centered approach, providing an environment as close to home as possible. The regulation of minimum standards to be met by all nursing homes at the national level should not significantly impact prices.

Suggested Citation

  • Cristina Vilaplana-Prieto & Carmelo S. Gómez Martínez & Paloma Echevarría Pérez & Isabel Legaz, 2023. "Sociosanitary Legal and Economic Aspects in Nursing Homes for the Elderly in Spain," IJERPH, MDPI, vol. 20(6), pages 1-24, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:4928-:d:1094040
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    References listed on IDEAS

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    1. Herr, Annika & Hottenrott, Hanna, 2016. "Higher prices, higher quality? Evidence from German nursing homes," Health Policy, Elsevier, vol. 120(2), pages 179-189.
    2. Grabowski, David C., 2001. "Medicaid reimbursement and the quality of nursing home care," Journal of Health Economics, Elsevier, vol. 20(4), pages 549-569, July.
    3. Dörte Heger & Annika Herr & Anne Mensen, 2022. "Paying for the view? How nursing home prices affect certified staffing ratios," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1618-1632, August.
    4. Gorgemans, Sophie & Urbina-Pérez, Olga, 2022. "New legal forms in health services: Evaluation of a Spanish public policy," Health Policy, Elsevier, vol. 126(8), pages 802-807.
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