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Employment in Long-Term Care: The Role of Macroeconomic Conditions

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  • Baughman Reagan

    (Department of Economics, University of New Hampshire, 370H Paul College of Business & Economics, Durham, NH, USA)

Abstract

As populations age dramatically in developed economies, understanding the dynamics of employment in long-term care will help to ensure an adequate workforce and increase quality of care. Although downturns in the business cycle are associated with decreases in employment at the aggregate level and across most sectors of the economy, there are several reasons to believe that employment in the health and long-term care sectors increases during recessions. This is the first study of the relationship between changes in macroeconomic conditions and employment duration of direct care workers based upon analysis of detailed, monthly individual-level data. The results suggest that direct care workers have longer employment spells during recessionary periods, a countercyclical effect, but one that is confined to nursing home settings. However, the length of job spells in hospitals appears to be procyclical.

Suggested Citation

  • Baughman Reagan, 2018. "Employment in Long-Term Care: The Role of Macroeconomic Conditions," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 18(4), pages 1-12, October.
    • Handle: RePEc:bpj:bejeap:v:18:y:2018:i:4:p:12:n:1
    DOI: 10.1515/bejeap-2017-0078
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    References listed on IDEAS

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    1. Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
    2. Ann H. Stevens & Douglas L. Miller & Marianne E. Page & Mateusz Filipski, 2015. "The Best of Times, the Worst of Times: Understanding Pro-cyclical Mortality," American Economic Journal: Economic Policy, American Economic Association, vol. 7(4), pages 279-311, November.
    3. Douglas L. Miller & Marianne E. Page & Ann Huff Stevens & Mateusz Filipski, 2009. "Why Are Recessions Good for Your Health?," American Economic Review, American Economic Association, vol. 99(2), pages 122-127, May.
    4. Yaa Akosa Antwi & John R. Bowblis, 2018. "The Impact of Nurse Turnover on Quality of Care and Mortality in Nursing Homes: Evidence from the Great Recession," American Journal of Health Economics, University of Chicago Press, vol. 4(2), pages 131-163, Spring.
    5. Reagan A. Baughman & Kristin E. Smith, 2012. "Labor Mobility Of The Direct Care Workforce: Implications For The Provision Of Long‐Term Care," Health Economics, John Wiley & Sons, Ltd., vol. 21(12), pages 1402-1415, December.
    6. Mitchell P. LaPlante & H. Stephen Kaye & Taewoon Kang & Charlene Harrington, 2004. "Unmet Need for Personal Assistance Services: Estimating the Shortfall in Hours of Help and Adverse Consequences," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 59(2), pages 98-108.
    7. Du Juan & Yagihashi Takeshi, 2015. "Health Care Use, Out-of-Pocket Expenditure, and Macroeconomic Conditions during the Great Recession," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 15(1), pages 1-38, January.
    8. Lundberg, Shelly, 1985. "The Added Worker Effect," Journal of Labor Economics, University of Chicago Press, vol. 3(1), pages 11-37, January.
    9. McInerney, Melissa & Mellor, Jennifer M., 2012. "Recessions and seniors’ health, health behaviors, and healthcare use: Analysis of the Medicare Current Beneficiary Survey," Journal of Health Economics, Elsevier, vol. 31(5), pages 744-751.
    10. John C. Ham & Xianghong Li & Lara Shore-Sheppard, 2009. "Seam Bias, Multiple-State, Multiple-Spell Duration Models and the Employment Dynamics of Disadvantaged Women," NBER Working Papers 15151, National Bureau of Economic Research, Inc.
    11. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(2), pages 617-650.
    12. Julie L. Hotchkiss & M. Melinda Pitts & Fernando Rios-Avila, 2012. "A closer look at nonparticipants during and after the Great Recession," FRB Atlanta Working Paper 2012-10, Federal Reserve Bank of Atlanta.
    13. Powers Elizabeth T & Powers Nicholas J, 2010. "Causes of Caregiver Turnover and the Potential Effectiveness of Wage Subsidies for Solving the Long-Term Care Workforce 'Crisis'," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 10(1), pages 1-30, January.
    14. Marianna Kudlyak & Felipe Schwartzman, 2012. "Accounting for unemployment in the Great Recession : nonparticipation matters," Working Paper 12-04, Federal Reserve Bank of Richmond.
    15. Sally C. Stearns & Laura P. D'Arcy, 2008. "Staying the Course: Facility and Profession Retention Among Nursing Assistants in Nursing Homes," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 63(3), pages 113-121.
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    More about this item

    Keywords

    long-term care; direct care; nursing labor supply; unemployment; recession;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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