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Research ArticleArticles

Government Regulation and the Quality of Healthcare

Evidence from Minimum Staffing Legislation for Nursing Homes

Jordan D. Matsudaira
Journal of Human Resources, January 2014, 49 (1) 32-72; DOI: https://doi.org/10.3368/jhr.49.1.32
Jordan D. Matsudaira
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Abstract

This paper investigates the effect of a regulation mandating a minimum nurse-staffing level on the quality of healthcare in nursing homes. To comply with the regulation, firms increase employment of nurses in proportion to the gap between their initial staffing level and the legislated minimum threshold. If higher nurse staffing causes better quality, then the changes in quality outcomes should mirror these changes. Despite inducing increases in nurse aide hours of 10 percent on average and up to 30 percent for some firms, I find no impact of the regulation on patient outcomes or overall facility quality.

  • Received August 2011.
  • Accepted December 2012.
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Journal of Human Resources: 49 (1)
Journal of Human Resources
Vol. 49, Issue 1
1 Jan 2014
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Government Regulation and the Quality of Healthcare
Jordan D. Matsudaira
Journal of Human Resources Jan 2014, 49 (1) 32-72; DOI: 10.3368/jhr.49.1.32

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Government Regulation and the Quality of Healthcare
Jordan D. Matsudaira
Journal of Human Resources Jan 2014, 49 (1) 32-72; DOI: 10.3368/jhr.49.1.32
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  • Article
    • Abstract
    • I. Introduction
    • II. Background
    • III. California Minimum Nurse Staffing Regulations and Research Design
    • IV. Data and Descriptive Overview
    • V. Results
    • VI. Conclusion
    • Data Appendix
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • References
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