The effect of state regulatory stringency on nursing home quality.

ABSTRACT:

Objective

To test the hypothesis that more stringent quality regulations contribute to better quality nursing home care and to assess their cost-effectiveness.

Data sources/setting

Primary and secondary data from all states and U.S. nursing homes between 2005 and 2006.

Study design

We estimated seven models, regressing quality measures on the Harrington Regulation Stringency Index and control variables. To account for endogeneity between regulation and quality, we used instrumental variables techniques. Quality was measured by staffing hours by type per case-mix adjusted day, hotel expenditures, and risk-adjusted decline in activities of daily living, high-risk pressure sores, and urinary incontinence.

Data collection

All states' licensing and certification off

SUBMITTER: Mukamel DB 

PROVIDER: S-EPMC3513606 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature