Hospital staff shortages: Environmental and organizational determinants and implications for patient satisfaction
Hospital staff shortages: Environmental and organizational determinants and implications for patient satisfaction
复制标题
DOI：
10.1016/j.healthpol.2020.01.001
复制
发表时间：
2020-04-01
期刊：
影响因子：
3.3
通讯作者：
Thiel, Andrea
中科院分区：
文献类型：
--
作者：
Winter, Vera;Schreyoegg, Jonas;Thiel, Andrea
最近的讨论和以前的研究经常表明，德国医院受到劳动力市场上医疗保健人员短缺的影响。然而，到目前为止，研究只提供了有限的见解，环境和组织因素如何解释员工短缺的变化，员工短缺的措施如何与员工比例，以及员工短缺与患者有什么相关性。根据2015年至2016年德国104家医院的调查数据，结合劳动力市场和患者满意度数据进行的回归分析显示，几个环境和组织因素与医院员工短缺显著相关，这些因素通过自我报告，空缺和流动来衡量。这三个措施的工作人员短缺不相关的医生和护士的程度相同，没有三个显着相关的护理比率，这表明，后者是一个独特的概念，而不是工作人员短缺的直接后果。分析进一步表明，医院工作人员短缺显着关系到病人对医生和护理的满意度。调查结果表明，医院在一定程度上能够影响他们受到员工短缺影响的程度，医院对员工人数的决定不仅仅取决于员工的可用性。(C)2020 Elsevier B.V.保留所有权利。
Recent discussions and previous research often indicate that German hospitals are affected by a shortage of healthcare personnel on the labor market. However, until now, research has provided only limited insights into how environmental and organizational factors explain variations in staff shortages, how staff shortage measures relate to staffing ratios, and what relevance staff shortages have for patients. Regression analyses based on survey data of 104 German hospitals from 2015 to 2016, combined with labor market and patient satisfaction data, show that several environmental and organizational factors are significantly related to hospital staff shortages, measured by self-reports, vacancies, and turnover. These three measures of staff shortage do not correlate to the same degree for physicians and nurses, and none of the three significantly relate to nursing ratios, which indicates that the latter is a distinct concept rather than a direct consequence of staff shortage. The analyses further show that hospital staff shortages relate significantly to patient satisfaction with physician and nursing care. The findings suggest that hospitals are, to a certain extent, able to influence the degree to which they are affected by staff shortages and that hospitals' decisions about staffing levels depend on more than staff availability. (C) 2020 Elsevier B.V. All rights reserved.