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External Threats and Nursing Home Administrator Turnover

Angelelli, Joseph; Gifford, David; Shah, Ann; Mor, Vincent

Health Care Management Review: Summer 2001 - Volume 26 - Issue 3 - pp 52-62
The Forum

External threats and volatility in the long-term-care sector in recent decades have posed serious challenges for nursing home administrators. Greater job complexity and administrative responsibilities resulting from public policies and more specialization and competitiveness in nursing home markets have made turnover a significant issue. This article examines administrator turnover from 1970 through 1997 in New York State and describes how turnover increased markedly in the late 1980s and early 1990s.

Joseph Angelelli, Ph.D., is Investigator, Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island.

David Gifford, M.D., M.P.H., is Assistant Professor of Medicine, Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island.

Ann Shah, Ph.D., is Project Coordinator, Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, Ann_Shah@brown.edu.

Vincent Mor, Ph.D., is Professor of Community Health, Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island.

This research was supported in part by AHRQ grant HS00011-13 and NIA grant AG11624-06s1. The authors thank Nick Castle for his helpful comments.

Copyright © 2001 by Aspen Publishers, Inc.