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Ensuring adequate nursing care is a major social challenge. In addition to the quality of care, the efficiency of service providers is also crucial. In order to close the increasing financing gap in the healthcare system, service providers will play an important role, in addition to contributions and tax revenues as well as private co-payments from patients. The competence area ”Health” examines the economic situation and quality of inpatient care facilities. In addition, the effects of family care on labor force participation and health as well as the effects of staff shortages on the quality of care is studied.