政府监管与医疗服务质量:来自养老院最低人员配置立法的证据

Government Regulation and the Quality of Healthcare: Evidence from Minimum Staffing Legislation for Nursing Homes

Journal of Human Resources · 2014
被引 34
人大 AABS 3

中文导读

研究养老院最低护士配置法规对医疗质量的影响,发现尽管法规使护士工时平均增加10%,但对患者结果或整体设施质量无显著影响。

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.

最低人员配置法规护理质量养老院护士工时