Nursing Home Staffing Requirements and Input Substitution: Effects on Housekeeping,Food Service,and Activities Staff |
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| Authors: | John R. Bowblis Ph.D. Kathryn Hyer Ph.D. M.P.P. |
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| Affiliation: | 1. Department of Economicsand and Research Fellow, Scripps Gerontology Center, Farmer School of Business, Miami University, , Oxford, OH 45056;2. School of Aging Studies, Florida Policy Exchange Center on Aging, University of South Florida, , Tampa, FL |
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| Abstract: | ObjectiveTo study the effect of minimum nurse staffing requirements on the subsequent employment of nursing home support staff.Data SourcesNursing home data from the Online Survey Certification and Reporting (OSCAR) System merged with state nurse staffing requirements.Study DesignFacility-level housekeeping, food service, and activities staff levels are regressed on nurse staffing requirements and other controls using fixed effect panel regression.Data Extraction MethodOSCAR surveys from 1999 to 2004.Principal FindingsIncreases in state direct care and licensed nurse staffing requirements are associated with decreases in the staffing levels of all types of support staff.ConclusionsIncreased nursing home nurse staffing requirements lead to input substitution in the form of reduced support staffing levels. |
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| Keywords: | Nursing homes regulation staffing requirements support staff housekeeping food service activities staff |
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