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来源类型Working Paper
规范类型报告
DOI10.3386/w10465
来源IDWorking Paper 10465
Factor Substitution and Unobserved Factor Quality in Nursing Homes
John Cawley; David C. Grabowski; Richard A. Hirth
发表日期2004-05-10
出版年2004
语种英语
摘要This paper studies factor substitution in one important sector: the nursing home industry. Specifically, we measure the extent to which nursing homes substitute materials for labor when labor becomes relatively more expensive. From a policy perspective, factor substitution in this market is important because materials-intensive methods of care are associated with greater risks of morbidity and mortality among nursing home residents. Studying longitudinal data from 1991-1998 on nearly every nursing home in the United States, we use the method of instrumental variables (IV) to address the potential endogeneity of nursing home wages. The results from the IV models are consistent with the theory of factor substitution: higher nursing home wages are associated with lower staffing, greater use of materials (specifically, physical restraints), and a higher proportion of residents with pressure ulcers. A comparison of OLS and IV results suggests that empirical studies of factor substitution should take into account unobserved heterogeneity in factor quality.
主题Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance
URLhttps://www.nber.org/papers/w10465
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/568094
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GB/T 7714
John Cawley,David C. Grabowski,Richard A. Hirth. Factor Substitution and Unobserved Factor Quality in Nursing Homes. 2004.
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