Cost implications of organizing nursing home workforce in teams.
Cost implications of organizing nursing home workforce in teams.
复制标题
以团队形式组织疗养院劳动力的成本影响。
DOI：
10.1111/j.1475-6773.2009.00980.x
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发表时间：
2009
影响因子：
3.4
通讯作者：
Temkin-Greener,Helena
中科院分区：
文献类型：
--
作者：
Mukamel,DanaB;Cai,Shubing;Temkin-Greener,Helena
目的：估计与疗养院中正式和自我管理的日常实践团队相关的成本。数据来源/研究设置。2006年纽约州135家疗养院的医疗补助成本报告和6，137名直接护理人员的调查数据。研究设计。回顾性统计分析：我们估计了包括团队渗透变量的混合成本函数。推断基于稳健的标准误差。数据收集。正式和自我管理的团队渗透（即，在一个团队中工作的工作人员的百分比）是根据调查答复计算的。年度可变成本，床位，病例组合调整天数，入院，家庭护理访视，门诊诊所访视，日托天数，工资和所有权从成本reports.Principal Findings.Formal team penetration was significantly associated with costs，while self-managed teams penetration not.成本随着渗透率的增加而下降，达到正式团队的13%，并超过这一水平。养老院的正式团队在曲线的向上倾斜范围内更加多样化，参与的学科数量更多，更有可能包括医生。结论：在正式团队中组织劳动力可以为养老院提供节省成本的策略。需要更多的研究来了解团队组成和成本之间的关系。
Objective.To estimate the costs associated with formal and self‐managed daily practice teams in nursing homes.Data Sources/Study Setting.Medicaid cost reports for 135 nursing homes in New York State in 2006 and survey data for 6,137 direct care workers.Study Design.A retrospective statistical analysis: We estimated hybrid cost functions that include team penetration variables. Inference was based on robust standard errors.Data Collection.Formal and self‐managed team penetration (i.e., percent of staff working in a team) were calculated from survey responses. Annual variable costs, beds, case mix‐adjusted days, admissions, home care visits, outpatient clinic visits, day care days, wages, and ownership were calculated from the cost reports.Principal Findings.Formal team penetration was significantly associated with costs, while self‐managed teams penetration was not. Costs declined with increasing penetration up to 13 percent of formal teams, and increased above this level. Formal teams in nursing homes in the upward sloping range of the curve were more diverse, with a larger number of participating disciplines and more likely to include physicians.Conclusions.Organization of workforce in formal teams may offer nursing homes a cost‐saving strategy. More research is required to understand the relationship between team composition and costs.
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DOI：
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发表时间：
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期刊：
The Journal of biological chemistry
影响因子：
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作者：
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DOI：
--
发表时间：
1987
期刊：
Journal of immunology (Baltimore, Md. : 1950)
影响因子：
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作者：
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影响因子：
3.8
作者：
R. Schwartz;J. Löhler;F. Lehmann
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F. Lehmann
影响因子：
56.9
作者：
FLIER, JS;COOK, KS;SPIEGELMAN, BM
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SPIEGELMAN, BM
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DOI：
--
发表时间：
1986
期刊：
JIM - Journal of Immunological Methods
影响因子：
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作者：
S. Kramer;M. E. Carver
通讯作者：
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