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Immigration, The Long-Term Care Workforce, and Elder Outcomes in the U.S

Author

Listed:
  • David C. Grabowski
  • Jonathan Gruber
  • Brian McGarry

Abstract

Although debates over immigration remain contentious, one important sector served heavily by immigrants faces a critical labor shortage: nursing homes. We merge a variety of data sets on immigration and nursing homes and use a shift-share instrumental variables analysis to assess the impact of increased immigration on nursing home staffing and care quality. We show that increased immigration significantly raises the staffing levels of nursing homes in the U.S., particularly in full time positions. We then show that this has an associated very positive effect on patient outcomes, particularly for those who are short stayers at nursing homes, and particularly for immigration of Hispanic staff.

Suggested Citation

  • David C. Grabowski & Jonathan Gruber & Brian McGarry, 2023. "Immigration, The Long-Term Care Workforce, and Elder Outcomes in the U.S," NBER Working Papers 30960, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:30960
    Note: AG EH LS PE
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    Cited by:

    1. Castro-Pires, Henrique & Mello, Marco & Moscelli, Giuseppe, 2023. "Foreign Nurses and Hospital Quality: Evidence from Brexit," IZA Discussion Papers 16616, Institute of Labor Economics (IZA).

    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J61 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Geographic Labor Mobility; Immigrant Workers

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