Nursing Home Staffing Requirements and Input Substitution: Effects on Housekeeping, Food Service, and Activities Staff
Article first published online: 28 FEB 2013
© Health Research and Educational Trust
Health Services Research
Volume 48, Issue 4, pages 1539–1550, August 2013
How to Cite
Bowblis, J. R. and Hyer, K. (2013), Nursing Home Staffing Requirements and Input Substitution: Effects on Housekeeping, Food Service, and Activities Staff. Health Services Research, 48: 1539–1550. doi: 10.1111/1475-6773.12046
- Issue published online: 4 JUL 2013
- Article first published online: 28 FEB 2013
- Nursing homes;
- staffing requirements;
- support staff;
- food service;
- activities staff
To study the effect of minimum nurse staffing requirements on the subsequent employment of nursing home support staff.
Nursing home data from the Online Survey Certification and Reporting (OSCAR) System merged with state nurse staffing requirements.
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.
Increases in state direct care and licensed nurse staffing requirements are associated with decreases in the staffing levels of all types of support staff.
Increased nursing home nurse staffing requirements lead to input substitution in the form of reduced support staffing levels.