Evidence supporting a relationship between costs and quality in nursing homes has been inconsistent. The Minnesota Performance-based Incentive Payment Program (PIPP) is an innovative public policy that promotes quality improvement (QI) in the state's nursing facilities. The objective of this study was to investigate the economic or business perspective surrounding QI participation by exploring nursing home leader perceptions regarding market-based motivations for improvements, or a business case for engaging in a quality improvement project. There appeared to be a perception that without the increased rates provided by PIPP, needed changes to improve quality would not have occurred.

中文翻译：

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是否有商业案例可以改善疗养院的质量？

支持养老院成本与质量之间关系的证据一直不一致。明尼苏达州绩效激励奖励计划（PIPP）是一项创新的公共政策，旨在促进该州护理机构的质量改善（QI）。这项研究的目的是通过探索养老院领导者对基于市场的改进动机或参与质量改进项目的业务案例的看法，来研究围绕QI参与的经济或商业观点。似乎有人认为，如果没有PIPP提供的提高费率，就不会发生为提高质量而进行的必要更改。