THE EFFECTS OF CALIFORNIA MINIMUM NURSE STAFFING LAWS ON NURSE LABOR AND PATIENT MORTALITY IN SKILLED NURSING FACILITIES

被引：32

作者：

Tong, Patricia K. ^{[1
]}

机构：

[1] UCSD, La Jolla, CA 92093 USA

来源：

HEALTH ECONOMICS | 2011年 / 20卷 / 07期

基金：

美国国家科学基金会;

关键词：

nursing homes; nurse staffing; regulation; QUALITY-OF-CARE; MEDICAID REIMBURSEMENT; HOME OUTCOMES; OWNERSHIP; STANDARDS; HOSPITALS; COST;

D O I：

10.1002/hec.1638

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

This article investigates how a change in minimum nurse staffing regulation for California skilled nursing facilities (SNFs) affects nurse employment and how induced changes in nurse staffing affect patient mortality. In 2000, legislation increased the minimum nurse staffing standard and altered the calculation of nurse staffing, which created incentives to shift employment to lower skilled nurse labor. SNFs constrained by the new regulation increase absolute and relative hours worked by the lowest skilled type of nurse. Using this regulation change to instrument for measured nurse staffing levels, it is determined that increases in nurse staffing reduce on-site SNF patient mortality. Copyright (C) 2010 John Wiley & Sons, Ltd.

引用

页码：802 / 816

页数：15

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