This study examines the extent to which nursing homes adjust staffing and care practices relative to local market conditions. Weighted two-stage least squares regression results suggest that facilities employ more nonprofessional nursing staff in markets in which professional nurse wages are higher. RN staffing levels are higher in markets with a higher percentage of self-pay nursing home residents and a lower percentage of for-profit nursing homes. Controlling for resident characteristics, the use of labor-saving practices is higher in markets with higher average nursing home wages, suggesting that there are economic incentives to hire fewer nursing personnel.
机构:
Univ Cologne, Grad Sch GROW Gerontol Res Well Being, Albertus Magnus Pl, D-50923 Cologne, GermanyUniv Cologne, Grad Sch GROW Gerontol Res Well Being, Albertus Magnus Pl, D-50923 Cologne, Germany
Zimmermann, Jaroslava
Pfaff, Holger
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机构:
Univ Cologne, Fac Human Sci, Qual Dev & Evaluat Rehabil, Cologne, Germany
Univ Cologne, Fac Med, Cologne, GermanyUniv Cologne, Grad Sch GROW Gerontol Res Well Being, Albertus Magnus Pl, D-50923 Cologne, Germany