Staffing subsidies and the quality of care in nursing homes

Foster, Andrew D.; Lee, Yong Suk

doi:10.1016/j.jhealeco.2015.02.002

Cited by 23 publications

(19 citation statements)

References 23 publications

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“…Their results are consistent with a model in which regulated wages act like a price ceiling in certain markets that makes it difficult for hospitals to recruit and retain nurses, especially those of high quality. Also in line with the idea that more pay for nurses generates higher quality nursing services, Foster and Lee (2015) show that Medicaid pass-through subsidies-which provide additional funds earmarked for higher pay or more employment of staff--were associated with both increased staffing and decreased pressure ulcers among nursing home residents. Looking more directly at the impacts of nursing staff, Gruber and Kleiner (2012) find that nurse strikes substantially increase within-hospital mortality rates for patients admitted during a strike, despite largely unchanged patient characteristics or treatment intensities.…”

Section: Introductionsupporting

confidence: 52%

Does Immigration Improve Quality of Care in Nursing Homes?

Furtado

Ortega

2020

SSRN Journal

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Any opinions expressed in this paper are those of the author(s) and not those of IZA. Research published in this series may include views on policy, but IZA takes no institutional policy positions. The IZA research network is committed to the IZA Guiding Principles of Research Integrity. The IZA Institute of Labor Economics is an independent economic research institute that conducts research in labor economics and offers evidence-based policy advice on labor market issues. Supported by the Deutsche Post Foundation, IZA runs the world's largest network of economists, whose research aims to provide answers to the global labor market challenges of our time. Our key objective is to build bridges between academic research, policymakers and society. IZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author.

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Section: Introductionsupporting

confidence: 52%

Does Immigration Improve Quality of Care in Nursing Homes?

Furtado

Ortega

2020

SSRN Journal

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“…Thus, ongoing personnel management by hospitals should contribute to improving healthcare quality. Providing employees with incentives for positive outcomes (e.g., decreases in pressure ulcers) and making efforts to increase their satisfaction and decrease turnover rates should be considered by LTCH managers who wish to improve healthcare quality [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Related to Healthcare Service Quality in Long-term Care Hospitals in South Korea: A Mixed-methods Study

Sohn

Choi

2017

Osong Public Health Res Perspect

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ObjectivesThe environment of long-term care hospitals (LTCHs) is critical to the management of the quality of their services and to patient safety, as highlighted by international studies. However, there is a lack of evidence on this topic in South Korea. This study aimed to examine the factors affecting healthcare quality in LTCHs and to explore the effectiveness of their quality management.MethodsThis study used a mixed methods approach with quantitative data collected in a national survey and qualitative data from semi-structured interviews with practice-based managers. The samples included 725 nationally representative LTCHs in South Korea for the quantitative analysis and 15 administrators for the in-depth interviews.ResultsA higher installation rate of patient-safety and hygiene-related facilities and staff with longer-tenures, especially nurses, were more likely to have better healthcare quality and education for both employees and patients.ConclusionThe need for patient-safety- and hygiene-related facilities in LTCHs that serve older adults reflects their vulnerability to certain adverse events (e.g., infections). Consistent and skillful nursing care to improve the quality of LTCHs can be achieved by developing relevant educational programs for staff and patients, thereby strengthening the relationships between them.

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“…Policy-makers could compel nursing homes to spend a certain amount of the Medicare and Medicaid revenues on staff through the adoption of wage pass-through requirement or wage floors. Some states already employ such measures, and research has found them to modestly improve residents' outcomes (Foster and Lee 2015). To the extent that such measures also result in better benefits for direct care workers, including paid sick days and better health benefits, such reforms could make nursing homes better prepared to respond to infectious disease outbreaks by allowing staff to stay home when sick and access needed health services.…”

Section: Higher Wages For Direct Care Staffmentioning

confidence: 99%

Nursing Homes and COVID-19: A Crisis on Top of a Crisis

McGarry¹,

Grabowski²

2021

The ANNALS of the American Academy of Political and Social Scie

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The COVID-19 pandemic has caused a staggering number of deaths and a great deal of suffering in U.S. nursing homes. The spread of the virus across the country introduced a new emergency to a long-term care sector that had already been in a state of crisis for multiple decades. Nursing homes have been underfunded and understaffed for years, often delivering inadequate care to their vulnerable residents, and they are financed and regulated separately from the rest of the U.S. health care system. During the pandemic, policy responses at both the federal and state levels were often slow and inadequate, partly due to a frayed infrastructure that is the result of years of inattention from policy-makers. We review the state of nursing home care in the United States and the impacts of the pandemic, and we argue that a package of broader policy and delivery reforms should be implemented to improve the care of older adults that could help to prevent future tragedy.

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Staffing subsidies and the quality of care in nursing homes

Cited by 23 publications

References 23 publications

Does Immigration Improve Quality of Care in Nursing Homes?

Does Immigration Improve Quality of Care in Nursing Homes?

Factors Related to Healthcare Service Quality in Long-term Care Hospitals in South Korea: A Mixed-methods Study

Nursing Homes and COVID-19: A Crisis on Top of a Crisis

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