Abstract: Downsizing in the nursing home industry from 1992 to 2003 was examined. Most significantly, we show that downsizing is subsequently associated with improved quality.
Nicholas G. Castle, PhD, is Assistant Professor, Graduate School of Public Health, University of Pittsburgh, Pennsylvania. E-mail: CASTLEN@Pitt.edu.
Aiju Men, MS, is Research Associate, Graduate School of Public Health, University of Pittsburgh, Pennsylvania.
John Engberg, PhD, is Senior Health Economist, RAND, Pittsburgh, Pennsylvania.