Infections, Accidents and Nursing Overtime in a Neonatal Intensive Care Unit: A Bayesian Semiparametric Panel Data Logit Model

79 Pages Posted: 30 Mar 2020

See all articles by Marc Beltempo

Marc Beltempo

McGill University

Georges Bresson

ERMES (CNRS), Université Panthéon-Assas Paris II

Jean-Michel Etienne

Université Paris-Sud

Guy Lacroix

Université Laval - Département d'Économique; IZA Institute of Labor Economics

Abstract

The paper investigates the effects of nursing overtime on nosocomial infections and medical accidents in a neonatal intensive care unit (NICU). The literature lacks clear evidence on this issue and we conjecture that this may be due to empirical and methodological factors. We thus focus on a single NICU, thereby removing much variation in specialty mixes such neonatologists, fellows, residents, nurse practitioners that are observed across units. We model the occurrences of both outcomes using a sample of 3,979 neonates which represents over 84,846 observations (infant/days).We use a semiparametric panel data Logit model with random coefficients. The non-parametric components of the model allow to unearth potentially highly non-linear relationships between the outcomes and various policy-relevant covariates. We use the mean field variational Bayes approximation method to estimate the models. Our results show unequivocally that both health outcomes are affected by nursing overtime. Furthermore, they are both highly sensitive to infant and NICU-related characteristics.

Keywords: neonatal health outcomes, nursing overtime, semi-parametric panel data logit model, mean field variational Bayes, random coefficients

JEL Classification: I1, J2, C11, C14, C23

Suggested Citation

Beltempo, Marc and Bresson, Georges and Etienne, Jean-Michel and Lacroix, Guy, Infections, Accidents and Nursing Overtime in a Neonatal Intensive Care Unit: A Bayesian Semiparametric Panel Data Logit Model. IZA Discussion Paper No. 13046, Available at SSRN: https://ssrn.com/abstract=3562836

Marc Beltempo (Contact Author)

McGill University

1001 Sherbrooke St. W
Montreal
Canada

Georges Bresson

ERMES (CNRS), Université Panthéon-Assas Paris II ( email )

12 Place du Panthéon
Paris, Cedex 5, 75005
France

Jean-Michel Etienne

Université Paris-Sud ( email )

Faculté Jean-Monnet, 54, bd Desgranges
Orsay, 91400
France

Guy Lacroix

Université Laval - Département d'Économique ( email )

2325 Rue de l'Université
Ste-Foy, Quebec G1K 7P4 G1K 7P4
Canada
418-656-2024 (Phone)
418-656-7798 (Fax)

IZA Institute of Labor Economics

P.O. Box 7240
Bonn, D-53072
Germany

Here is the Coronavirus
related research on SSRN

Paper statistics

Downloads
4
Abstract Views
32
PlumX Metrics