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

Authors

  • John R. Bowblis Ph.D.,

    Assistant Professor of Economics, Corresponding author
    • Department of Economicsand and Research Fellow, Scripps Gerontology Center, Farmer School of Business, Miami University, Oxford, OH 45056
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  • Kathryn Hyer Ph.D., M.P.P.

    1. School of Aging Studies, Florida Policy Exchange Center on Aging, University of South Florida, Tampa, FL
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Address correspondence to John R. Bowblis, Ph.D., Assistant Professor of Economics, Department of Economics and Research Fellow, Scripps Gerontology Center, Farmer School of Business, Miami University, E. High Street, Oxford, OH 45056; e-mail: bowblijr@miamihio.edu.

Abstract

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.

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