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The Impact Of Nurse Turnover On Quality Of Care And Mortality In Nursing Homes: Evidence From The Great Recession, Yaa Akosa Antwi, John R. Bowblis
The Impact Of Nurse Turnover On Quality Of Care And Mortality In Nursing Homes: Evidence From The Great Recession, Yaa Akosa Antwi, John R. Bowblis
Upjohn Institute Working Papers
We estimate the causal effect of nurse turnover on mortality and the quality of nursing home care with a fixed effect instrumental variable estimation that uses the unemployment rate as an instrument for nursing turnover. We find that ignoring endogeneity leads to a systematic underestimation of the effect of nursing turnover on mortality and quality of care in a sample of California nursing homes. Specifically, 10 percentage point increase in nurse turnover results in a facility receiving 2.2 additional deficiencies per annual regulatory survey, reflecting a 19.3 percent increase. Not accounting for endogeneity of turnover leads to results that suggest …
Seasonal Stability In Late Holocene Shellfish Harvesting On The Central California Coast, Terry L. Jones, Douglas J. Kennett, James P. Kennett, Brian F. Codding
Seasonal Stability In Late Holocene Shellfish Harvesting On The Central California Coast, Terry L. Jones, Douglas J. Kennett, James P. Kennett, Brian F. Codding
Social Sciences
Oxygen isotope determinations from 92 California mussel (Mytilus californianus) shells from ten archaeological sites in central coastal California show relatively stable seasonal harvesting patterns between 3600 CAL BP and historic contact (AD 1769). Coastal occupants harvested mussels nearly year-round and seem to have occupied individual residential bases throughout the seasonal cycle. Interior groups returned with mussels from the coast mostly in the spring and early summer, but almost never in the late summer/early fall when nut crops were harvested. These findings suggest two inter-dependent groups with distinct seasonal settlement strategies: inland people, reliant on acorns and other nut …
Upgrading California’S Home Care Workforce: The Impact Of Political Action And Unionization, Candace Howes
Upgrading California’S Home Care Workforce: The Impact Of Political Action And Unionization, Candace Howes
Economics Faculty Publications
Candace Howes examines the recent history of one of California's rapidly growing occupations: home care. As the author's analysis demonstrates, home care has been extensively transformed in recent years through large-scale unionization and coalition-based political action, which have led to major improvements in wages and benefits. Apart from providing many home care workers with better pay, the upgrading of this occupation has also improved the quality of care that clients receive, since higher wages make for lower turnover. The improved working and living conditions that result benefit caregivers and those they serve alike. The author's empirical analysis has obvious ramifications …
The Impact Of A Large Wage Increase On The Workforce Stability Of Ihss Home Care Workers In San Francisco County, Candace Howes
The Impact Of A Large Wage Increase On The Workforce Stability Of Ihss Home Care Workers In San Francisco County, Candace Howes
Economics Faculty Publications
This study is one of the very few large-scale empirical investigations of the effect of wages on labor market outcomes in any direct care industry, and possibly the only such study specifically addressing conditions in the homecare industry. It records the impact of the nearly doubling of wages for IHSS homecare workers in San Francisco County over a 52 month period. The project is based on a unique database, which matches approximately 18,000 San Francisco County homecare workers in 26,115 unique matches to 15,500 service recipients between November 1997 and February 2002.
Struggling To Provide: A Portrait Of Alameda County Homecare Workers, Candace Howes, Howard Greenwich, Laura Reif, Lea Grundy
Struggling To Provide: A Portrait Of Alameda County Homecare Workers, Candace Howes, Howard Greenwich, Laura Reif, Lea Grundy
Economics Faculty Publications
Alameda County employs nearly 8,000 homecare workers to help disabled and elderly persons live independently. Over one-third of these workers and their families—about 2,800—earn incomes that are below the official Federal poverty threshold. Many more struggle to meet basic daily needs and have to make difficult choices between caring for themselves and caring for others. Struggling to Provide is based on a recent survey of homecare workers in Alameda County that illustrates the insecure conditions in which many homecare workers live.