Effects of state minimum staffing standards on nursing home staffing and quality of care.

ABSTRACT:

Objective

To investigate the impact of state minimum staffing standards on the level of staffing and quality of nursing home care.

Data sources

Online Survey and Certification Reporting System (OSCAR) merged with the Area Resource File from 1998 through 2001.

Study design

Between 1998 and 2001, 16 states implemented or expanded staffing standards in excess of federal requirements, creating a natural experiment in comparison with facilities in states without new standards. Difference-in-differences models using facility fixed effects were estimated to determine the effect of state standards.

Data collection/extraction methods

OSCAR data were linked to the data on market conditions and state policies. A total of 55,248 facility-year observations from 15,217 frees

SUBMITTER: Park J 

PROVIDER: S-EPMC2669632 | biostudies-literature | 2009 Feb

REPOSITORIES: biostudies-literature