Nursing home staffing, turnover, and case mix
Nursing home staffing, turnover, and case mix
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DOI：
10.1177/1077558703254692
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发表时间：
2003-09-01
影响因子：
2.5
通讯作者：
Swan, JH
中科院分区：
文献类型：
--
作者：
Harrington, C;Swan, JH
本研究使用1999年州成本报告中的人员数据，分别对加州所有独立养老院（1155家）的总护士和注册护士（RN）的工作时间进行了预测。本研究采用两阶段最小二乘模型，考虑到护理人员流失率、住院病例混合水平和其他因素。正如预期的那样，总护士和注册护士工作时数与护士人员流失率负相关，与住院病例组合正相关。医疗机构具有资源依赖性，较高比例的医疗保险居民预测工作人员工作时间更长，较高比例的医疗补助居民预测工作人员工作时间更短，离职率更高。护理助理工资与护士总工作时数呈正相关。营利性设施和高入住率设施的护士和注册护士总工作时数较低。医疗补助报销率和多设施组织与注册护士工作时间呈正相关。
This study examined the predictors of total nurse and registered nurse (RN) staffing hours per resident day separately in all free-standing California nursing homes (1,155), using staffing data from state cost reports in 1999. This study used a two-stage least squares model, taking into account nursing turnover rates, resident case mix levels, and other factors. As expected, total nurse and RN staffing hours were negatively associated with nurse staff turnover rates and positively associated with resident case mix. Facilities were resource dependent in that a high proportion of Medicare residents predicted higher staffing hours, and a higher proportion of Medicaid residents predicted lower staffing hours and higher turnover rates. Nursing assistant wages were positively associated with total nurse staffing hours. For-profit facilities and high-occupancy rate facilities had lower total nurse and RN staffing hours. Medicaid reimbursement rates and multifacility organizations were positively associated with RN staffing hours.