| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w23402 |
| 来源ID | Working Paper 23402 |
| Are Recessions Good for Staffing in Nursing Homes? | |
| R. Tamara Konetzka; Karen B. Lasater; Edward C. Norton; Rachel M. Werner | |
| 发表日期 | 2017-05-15 |
| 出版年 | 2017 |
| 语种 | 英语 |
| 摘要 | The quality and cost of care in nursing homes depend critically on the number and types of nurses. Recent research suggests that the nursing supply adjusts to macroeconomic conditions. However, prior work has failed to consider the effect of macroeconomic conditions on demand for nurses through the effect on revenues. We test how county-level unemployment rates affect direct-care staffing rates in nursing homes using California data. We exploit the wide variation in the unemployment rates across counties and over time in 2005–2012. We also test whether there are heterogeneous effects of unemployment rates by facility size, staffing level, and profit status. We find that as unemployment rates increase, staffing by registered nurses (RNs) decreases but staffing by licensed practical nurses (LPNs) increases. The increase in LPNs is larger in large nursing homes, nursing homes with higher staffing levels, and in for-profit nursing homes. We also find that as unemployment rates increase, nursing home revenue decreases. While the effect of macroeconomic conditions on nursing supply may be important for cost and quality of care, the mechanism is not simple, direct, or homogeneous for all types of nurses and nursing homes. |
| 主题 | Macroeconomics ; Business Cycles ; Health, Education, and Welfare ; Health ; Labor Economics ; Labor Market Structures ; Industrial Organization ; Industry Studies |
| URL | https://www.nber.org/papers/w23402 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/581076 |
| 推荐引用方式 GB/T 7714 | R. Tamara Konetzka,Karen B. Lasater,Edward C. Norton,et al. Are Recessions Good for Staffing in Nursing Homes?. 2017. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w23402.pdf（604KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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