The Economic Value of Professional Nursing
The Economic Value of Professional Nursing
复制标题
DOI：
10.1097/mlr.0b013e3181844da8
复制
发表时间：
2009-01-01
期刊：
影响因子：
3
通讯作者：
Hogan, Paul F.
中科院分区：
文献类型：
--
作者：
Dall, Timothy M.;Chen, Yaozhu J.;Hogan, Paul F.
背景资料：更好地了解注册护士服务的经济价值，可以帮助告知人员配置决策和policy.Objectives：To量化的经济价值的专业nursing.Methods：我们综合研究结果从文献中的关系注册护士人员配置水平和护理敏感的病人在急性护理医院的结果。使用出院数据，估计发病率和成本，这些病人的结果与生产力措施，我们估计的经济影响的变化，注册护士的人员配置水平。数据来自文献综述，以及2005年全国住院患者样本的出院数据。测量：患者院内并发症、医疗保健支出和国家生产力。结果：随着护士人员配备水平的增加，患者院内并发症的风险和住院时间的减少，导致医疗成本的节省，提高了国家生产力，挽救了生命。结论：专业护士提供的服务中只有一部分可以用金钱来量化，但对经济价值的部分估计说明了通过提高人员配备水平来提高护理质量对社会的经济价值。
Background: Improved understanding of the economic value of registered nurse services can help inform staffing decisions and policies.Objectives: To quantify the economic value of professional nursing.Methods: We synthesize findings from the literature on the relationship between registered nurse staffing levels and nursing-sensitive patient outcomes in acute care hospitals. Using hospital discharge data to estimate incidence and cost of these patient outcomes together with productivity measures, we estimate the economic implications of changes in registered nurse staffing levels.Subjects: Medical and surgical patients in nonfederal acute care hospitals. Data come from a literature review, and hospital discharge data from the 2005 Nationwide Inpatient Sample.Measures: Patient nosocomial complications, healthcare expenditures, and national productivity.Results: As nurse staffing levels increase, patient risk of nosocomial complications and hospital length of stay decrease, resulting in medical cost savings, improved national productivity, and lives saved.Conclusions: Only a portion of the services that professional nurses provide can be quantified in pecuniary terms, but the partial estimates of economic value presented illustrate the economic value to society of improved quality of care achieved through higher staffing levels.