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Nursing home staffing requirements and input substitution: effects on housekeeping, food service, and activities
1Department of Economics, Farmer School of Business, Miami University, E. High Street, Oxford, OH 45056, USA. bowblijr@miamihio.edu
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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