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External threats and nursing home administrator turnover
J Angelelli1, D Gifford, A Shah
1Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, USA.
Health Care Management Review
|August 3, 2001
Summary
Nursing home administrator turnover increased significantly in New York State from 1970-1997. This rise is linked to increased job complexity and market competition in the long-term care sector.
Area of Science:
- Healthcare Management
- Gerontology
- Public Health Policy
Background:
- External challenges and market volatility impact the long-term care sector.
- Increased job complexity and administrative duties affect nursing home administrators.
- High turnover rates present a significant issue for nursing home management.
Purpose of the Study:
- To examine nursing home administrator turnover trends.
- To analyze turnover from 1970 through 1997 in New York State.
- To identify periods of significant increase in administrator turnover.
Main Methods:
- Longitudinal analysis of administrator turnover data.
- Examination of data from New York State nursing homes.
- Time-series analysis of turnover rates over a 27-year period.
Main Results:
- Nursing home administrator turnover rates were analyzed over a 27-year period.
- A marked increase in turnover was observed in the late 1980s and early 1990s.
- Factors contributing to turnover include policy changes and market dynamics.
Conclusions:
- Nursing home administrator turnover is a growing concern.
- The long-term care sector faces persistent challenges.
- Understanding turnover trends is crucial for stabilizing the workforce.
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