| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w16077 |
| 来源ID | Working Paper 16077 |
| The Effect of Hospital Nurse Staffing on Patient Health Outcomes: Evidence from California's Minimum Staffing Regulation | |
| Andrew Cook; Martin Gaynor; Melvin Stephens, Jr.; Lowell Taylor | |
| 发表日期 | 2010-06-10 |
| 出版年 | 2010 |
| 语种 | 英语 |
| 摘要 | Hospitals are currently under pressure to control the cost of medical care, while at the same time improving patient health outcomes. These twin concerns are at play in an important and contentious decision facing hospitals--choosing appropriate nurse staffing levels. Intuitively, one would expect nurse staffing ratios to be positively associated with patient outcomes. If so, this should be a key consideration in determining nurse staffing levels. A number of recent studies have examined this issue, however, there is concern about whether a causal relationship has been established. In this paper we exploit an arguably exogenous shock to nurse staffing levels. We look at the impact of California Assembly Bill 394, which mandated minimum levels of patients per nurse in the hospital setting. When the law was passed, some hospitals already had acceptable staffing levels, while others had nurse staffing ratios that did not meet mandated standards. Thus changes in hospital-level staffing ratios from the pre- to post-mandate periods are driven in part by the legislation. We find persuasive evidence that AB394 did have the intended effect of decreasing patient/nurse ratios in hospitals that previously did not meet mandated standards. However, our analysis suggests that patient outcomes did not disproportionately improve in these same hospitals. That is, we find no evidence of a causal impact of the law on patient safety. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics |
| URL | https://www.nber.org/papers/w16077 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/573752 |
| 推荐引用方式 GB/T 7714 | Andrew Cook,Martin Gaynor,Melvin Stephens, Jr.,et al. The Effect of Hospital Nurse Staffing on Patient Health Outcomes: Evidence from California's Minimum Staffing Regulation. 2010. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w16077.pdf（208KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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