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Response To Regulatory Stringency: The Case Of Antipsychotic Medication Use In Nursing Homes

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  • John R. Bowblis
  • Stephen Crystal
  • Orna Intrator
  • Judith A. Lucas

Abstract

This paper studies the impact of regulatory stringency, as measured by the statewide deficiency citation rate over the past year, on the quality of care provided in a national sample of nursing homes from 2000 to 2005. The quality measure used is the proportion of residents who are using antipsychotic medication. Although the changing case‐mix of nursing home residents accounts for some of the increase in the use of antipsychotics, we find that the use of antipsychotics by nursing homes is responsive to state regulatory enforcement in a manner consistent with the multitasking incentive problem. Specifically, the effect of the regulations is dependent on the degree of complementarity between the regulatory deficiency and the use of antipsychotics. Copyright © 2011 John Wiley & Sons, Ltd.

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  • John R. Bowblis & Stephen Crystal & Orna Intrator & Judith A. Lucas, 2012. "Response To Regulatory Stringency: The Case Of Antipsychotic Medication Use In Nursing Homes," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 977-993, August.
    • Handle: RePEc:wly:hlthec:v:21:y:2012:i:8:p:977-993
    DOI: 10.1002/hec.1775
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    Cited by:

    1. Laura Di Giorgio & Massimo Filippini & Giuliano Masiero, 2014. "The relationship between costs and quality in nonprofit nursing homes," IdEP Economic Papers 1402, USI Università della Svizzera italiana.
    2. Lauren M. Robins & Den-Ching A. Lee & J Simon Bell & Velandai Srikanth & Ralph Möhler & Keith D. Hill & Terry P. Haines, 2021. "Definition and Measurement of Physical and Chemical Restraint in Long-Term Care: A Systematic Review," IJERPH, MDPI, vol. 18(7), pages 1-20, March.
    3. Ozbugday, Fatih Cemil & Tirgil, Abdullah & Kose, Elif Gul, 2020. "Efficiency changes in long-term care in OECD countries: A non-parametric Malmquist Index approach," Socio-Economic Planning Sciences, Elsevier, vol. 70(C).
    4. John Bowblis & Judith Lucas, 2012. "The impact of state regulations on nursing home care practices," Journal of Regulatory Economics, Springer, vol. 42(1), pages 52-72, August.
    5. L. Di Giorgio & M. Filippini & G. Masiero, 2016. "Is higher nursing home quality more costly?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(8), pages 1011-1026, November.

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