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How Financial Cutbacks Affect the Quality of Jobs and Care for the Elderly

Author

Listed:
  • Diane J. Burns
  • Paula J. Hyde
  • Anne M. Killett

Abstract

Based on case studies in 12 nursing homes in the United Kingdom, the authors illustrate how financial cutbacks affect job quality and the quality of care. The dimensions of job quality that suffered most were those directly related to the ability of workers to provide care: reductions in staffing, longer working hours, and work intensification. Cuts to labor costs eroded the quality of workers’ jobs in all 12 homes but with two differential outcomes: in seven homes, care quality was maintained, and in five homes, it deteriorated. Care quality was maintained in homes where a patient-centered care approach and remaining job quality allowed workers to develop work-arounds to protect residents from spillover effects. Care quality declined in homes where custodial approaches to care and low job quality did not provide workers the time or resources to protect residents or to maintain prior levels of care. A tipping point was reached, leading to a spillover into impoverished care.

Suggested Citation

  • Diane J. Burns & Paula J. Hyde & Anne M. Killett, 2016. "How Financial Cutbacks Affect the Quality of Jobs and Care for the Elderly," ILR Review, Cornell University, ILR School, vol. 69(4), pages 991-1016, August.
    • Handle: RePEc:sae:ilrrev:v:69:y:2016:i:4:p:991-1016
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    Cited by:

    1. Dauth, Christine & Lang, Julia, 2017. "Should the unemployed care for the elderly? : The effect of subsidized occupational and further training in elderly care," IAB-Discussion Paper 201713, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    2. Lang, Julia & Dauth, Christine, 2017. "Should the unemployed care for the elderly? The effect of subsidized occupational and further training in geriatric care," VfS Annual Conference 2017 (Vienna): Alternative Structures for Money and Banking 168130, Verein für Socialpolitik / German Economic Association.

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