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Robots and Labor in Nursing Homes

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  • Yong Suk Lee
  • Toshiaki Iizuka
  • Karen Eggleston

Abstract

How do employment, tasks, and productivity change with robot adoption? Unlike manufacturing, little is known about these issues in the service sector, where robot adoption is expanding. As a first step towards filling this gap, we study Japanese nursing homes using original facility-level panel data that includes the different robots used and the tasks performed. We find that robot adoption is accompanied by an increase in employment and retention and the relationship is strongest for non-regular care workers and monitoring robots. The share of specific tasks performed by robots increases with the adoption of the respective type of robot, leading to reallocation of care worker effort to “human touch” tasks that support quality care. Robots are associated with improved quality (reduction in restraint use and pressure ulcers) and productivity.

Suggested Citation

  • Yong Suk Lee & Toshiaki Iizuka & Karen Eggleston, 2024. "Robots and Labor in Nursing Homes," NBER Working Papers 33116, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:33116
    Note: AG EH
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    1. Nicholas Bloom & John Van Reenen, 2007. "Measuring and Explaining Management Practices Across Firms and Countries," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(4), pages 1351-1408.
    2. Daron Acemoglu & Claire Lelarge & Pascual Restrepo, 2020. "Competing with Robots: Firm-Level Evidence from France," AEA Papers and Proceedings, American Economic Association, vol. 110, pages 383-388, May.
    3. Katja Mann & Lukas Püttmann, 2023. "Benign Effects of Automation: New Evidence from Patent Texts," The Review of Economics and Statistics, MIT Press, vol. 105(3), pages 562-579, May.
    4. Wolfgang Dauth & Sebastian Findeisen & Jens Suedekum & Nicole Woessner, 2021. "The Adjustment of Labor Markets to Robots [“Skills, Tasks and Technologies: Implications for Employment and Earnings]," Journal of the European Economic Association, European Economic Association, vol. 19(6), pages 3104-3153.
    5. Matteo Sostero, 2020. "Automation and Robots in Services: Review of Data and Taxonomy," JRC Working Papers on Labour, Education and Technology 2020-14, Joint Research Centre.
    6. Rong Fu & Toshiaki Iizuka & Haruko Noguchi, 2023. "Long-term Care in Japan," NBER Working Papers 31829, National Bureau of Economic Research, Inc.
    7. Daisuke Adachi & Daiji Kawaguchi & Yukiko U. Saito, 2024. "Robots and Employment: Evidence from Japan, 1978–2017," Journal of Labor Economics, University of Chicago Press, vol. 42(2), pages 591-634.
    8. Osea Giuntella & Fabrizio Mazzonna & Catia Nicodemo & Carlos Vargas-Silva, 2019. "Immigration and the reallocation of work health risks," Journal of Population Economics, Springer;European Society for Population Economics, vol. 32(3), pages 1009-1042, July.
    9. John Chung & Yong Suk Lee, 2023. "The Evolving Impact of Robots on Jobs," ILR Review, Cornell University, ILR School, vol. 76(2), pages 290-319, March.
    10. Alessandra Bonfiglioli & Rosario Crinò & Harald Fadinger & Gino Gancia, 2024. "Robot Imports and Firm-Level Outcomes," The Economic Journal, Royal Economic Society, vol. 134(664), pages 3428-3444.
    11. Gihleb, Rania & Giuntella, Osea & Stella, Luca & Wang, Tianyi, 2022. "Industrial robots, Workers’ safety, and health," Labour Economics, Elsevier, vol. 78(C).
    12. Daron Acemoglu & Pascual Restrepo, 2020. "Robots and Jobs: Evidence from US Labor Markets," Journal of Political Economy, University of Chicago Press, vol. 128(6), pages 2188-2244.
    13. Daron Acemoglu & Pascual Restrepo, 2018. "The Race between Man and Machine: Implications of Technology for Growth, Factor Shares, and Employment," American Economic Review, American Economic Association, vol. 108(6), pages 1488-1542, June.
    14. Manav Raj & Robert Seamans, 2019. "Primer on artificial intelligence and robotics," Journal of Organization Design, Springer;Organizational Design Community, vol. 8(1), pages 1-14, December.
    15. Karen Eggleston & Yong Suk Lee & Toshiaki Iizuka, 2021. "Robots and Labor in the Service Sector: Evidence from Nursing Homes," NBER Working Papers 28322, National Bureau of Economic Research, Inc.
    16. Shinya Sugawara, 2017. "Firm‐Driven Management of Longevity Risk: Analysis of Lump‐Sum Forward Payments in Japanese Nursing Homes," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 26(1), pages 169-204, February.
    17. Grabowski, David C. & Feng, Zhanlian & Hirth, Richard & Rahman, Momotazur & Mor, Vincent, 2013. "Effect of nursing home ownership on the quality of post-acute care: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 32(1), pages 12-21.
    18. Acemoglu, Daron & Autor, David, 2011. "Skills, Tasks and Technologies: Implications for Employment and Earnings," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 12, pages 1043-1171, Elsevier.
    19. Foster, Andrew D. & Lee, Yong Suk, 2015. "Staffing subsidies and the quality of care in nursing homes," Journal of Health Economics, Elsevier, vol. 41(C), pages 133-147.
    20. Jay Dixon & Bryan Hong & Lynn Wu, 2021. "The Robot Revolution: Managerial and Employment Consequences for Firms," Management Science, INFORMS, vol. 67(9), pages 5586-5605, September.
    21. Daniel Aaronson & Brian J. Phelan, 2020. "The Evolution of Technological Substitution in Low-Wage Labor Markets," Working Paper Series WP-2020-16, Federal Reserve Bank of Chicago, revised 01 Mar 2022.
    22. Martin B. Hackmann, 2019. "Incentivizing Better Quality of Care: The Role of Medicaid and Competition in the Nursing Home Industry," American Economic Review, American Economic Association, vol. 109(5), pages 1684-1716, May.
    23. Haizhen Lin, 2014. "Revisiting the relationship between nurse staffing and quality of care in nursing homes: An instrumental variables approach," Working Papers 2014-01, Indiana University, Kelley School of Business, Department of Business Economics and Public Policy.
    24. Lin, Haizhen, 2014. "Revisiting the relationship between nurse staffing and quality of care in nursing homes: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 37(C), pages 13-24.
    25. Liran Einav & Amy Finkelstein & Neale Mahoney, 2022. "Producing Health: Measuring Value Added of Nursing Homes," NBER Working Papers 30228, National Bureau of Economic Research, Inc.
    26. Cawley, John & Grabowski, David C. & Hirth, Richard A., 2006. "Factor substitution in nursing homes," Journal of Health Economics, Elsevier, vol. 25(2), pages 234-247, March.
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    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • J23 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Labor Demand
    • O30 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - General

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