Table 2.
Results of Estimating Model of Facility Quality
| Variable | (1) | (2) | (3) | (4) | (5) |
|---|---|---|---|---|---|
| MI CS All facilities |
MI CSIV All facilities |
MI REIV All facilities |
MI REIV NH only |
MI REIV NH with skill mix |
|
| Facility structure | |||||
| Not for profit | 0.056** | 0.020 | 0.027 | −0.009 | −0.003 |
| (0.015) | (0.016) | (0.016) | (0.035) | (0.035) | |
| Nursing home | −0.038** | −0.036** | −0.037** | ||
| (0.012) | (0.012) | (0.012) | |||
| Dementia care | −0.044** | −0.039** | −0.043** | −0.029 | −0.025 |
| (0.011) | (0.011) | (0.011) | (0.017) | (0.018) | |
| Size (log) | 0.010 | 0.007 | 0.001 | −0.021 | −0.017 |
| (0.014) | (0.014) | (0.013) | (0.022) | (0.022) | |
| Occupancy rate | 0.004** | 0.004** | 0.004** | 0.004** | 0.004** |
| (0.0004) | (0.0004) | (0.0004) | (0.001) | (0.001) | |
| Competition (Herfindahl−Hirschman Index) | 0.256** | 0.245** | 0.233** | 0.416** | 0.410** |
| (0.062) | (0.063) | (0.063) | (0.105) | (0.104) | |
| Staffing | |||||
| Total staff (log) | −0.028** | −0.025 | −0.018 | −0.013 | −0.016 |
| (0.013) | (0.014) | (0.013) | (0.025) | (0.025) | |
| Direct care staff to resident ratio | 0.190** | 0.179** | 0.175** | 0.153 | 0.156 |
| (0.047) | (0.048) | (0.047) | (0.086) | (0.086) | |
| Direct care staff to resident ratio squared | −0.045** | −0.047** | −0.048** | −0.042 | −0.040 |
| (0.017) | (0.017) | (0.017) | (0.032) | (0.032) | |
| Supervisor to direct care staff ratio | 0.124* | 0.111 | 0.111 | 0.134 | 0.139 |
| (0.058) | (0.059) | (0.060) | (0.129) | (0.129) | |
| Female staff (%) | 0.001 | 0.001 | 0.001 | 0.001 | 0.001 |
| (0.0006) | (0.0006) | (0.0006) | (0.001) | (0.001) | |
| Registered nurse (%) | 0.144 | ||||
| (0.109) | |||||
| Training incidence | |||||
| Dementia trained staff (%) | 0.001** | 0.001** | 0.001** | 0.001* | 0.001* |
| (0.0002) | (0.0002) | (0.0002) | (0.004) | (0.0003) | |
| Dignity/PCC trained staff (%) | 0.0002 | 0.0002 | 0.0001 | −0.000005 | −0.0001 |
| (0.0002) | (0.0002) | (0.0003) | (0.0005) | (0.0005) | |
| Wage | |||||
| Direct care staff hourly wage (£2018) (log) | 0.207** | 0.785** | 0.705** | 0.897** | 0.849** |
| (0.075) | (0.125) | (0.132) | (0.235) | (0.233) | |
| Local-area controls | YES | YES | YES | YES | YES |
| Year | YES | YES | YES | YES | YES |
| Region | YES | YES | YES | YES | YES |
| Observations | 12,055 | 12,055 | 12,055 | 4,617 | 4,617 |
| Number of facilities | 5,556 | 5,556 | 5,556 | 2,130 | 2,130 |
| Imputations | 50 | 50 | 50 | 50 | 50 |
| Average RVI | 0.143 | 0.153 | 0.187 | 0.168 | 0.182 |
| Largest FMI | 0.385 | 0.414 | 0.484 | 0.447 | 0.444 |
Notes: CS = cross-section; FMI = fraction of missing information; IV = instrumental variable; MI = multiple imputation; NH = nursing homes; PCC = person-centered care; REIV = random effects instrumental variable; RVI = relative variance inflation. Robust standard errors in parentheses (clustered at facility level). All models estimated are linear probability models using OLS. Local-area controls are Job Seeker’s Allowance uptake, pension credit uptake, attendance allowance uptake, and average house price (log).
*p < .05. **p < .01.