Nursing Home Staffing Requirements and Input Substitution: Effects on Housekeeping, Food Service, and Activities Staff

被引：21
作者：
Bowblis, John R. [1 ,2 ]
Hyer, Kathryn [3 ]
机构：
[1] Miami Univ, Dept Econ, Oxford, OH 45056 USA
[2] Miami Univ, Farmer Sch Business, Scripps Gerontol Ctr, Oxford, OH 45056 USA
[3] Univ S Florida, Sch Aging Studies, Florida Policy Exchange Ctr Aging, Tampa, FL USA
来源：
HEALTH SERVICES RESEARCH | 2013年 / 48卷 / 04期
关键词：
Nursing homes; regulation; staffing requirements; support staff; housekeeping; food service; activities staff; QUALITY-OF-CARE; REGULATORY STRINGENCY; MEDICAID PAYMENT; STANDARDS; REIMBURSEMENT; MIX;
D O I：
10.1111/1475-6773.12046
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Objective. To study the effect of minimum nurse staffing requirements on the subsequent employment of nursing home support staff. Data Sources. Nursing home data from the Online Survey Certification and Reporting (OSCAR) System merged with state nurse staffing requirements. Study Design. Facility-level housekeeping, food service, and activities staff levels are regressed on nurse staffing requirements and other controls using fixed effect panel regression. Data Extraction Method. OSCAR surveys from 1999 to 2004. Principal Findings. Increases in state direct care and licensed nurse staffing requirements are associated with decreases in the staffing levels of all types of support staff. Conclusions. Increased nursing home nurse staffing requirements lead to input substitution in the form of reduced support staffing levels.
引用
收藏
页码：1539 / 1550
页数：12
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