Nurse staffing patterns and hospital efficiency in the United States

被引:45
作者
Bloom, JR
Alexander, JA
Nuchols, BA
机构
[1] UNIV MICHIGAN,ANN ARBOR,MI 48109
[2] UNIV SAN FRANCISCO,SAN FRANCISCO,CA 94117
关键词
D O I
10.1016/S0277-9536(96)00063-9
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The objective of this exploratory study was to assess the effects of four nurse staffing patterns on the efficiency of patient care delivery in the hospital: registered nurses (RNs) from temporary agencies; part-time career RNs; RN rich skill mix; and organizationally experienced RNs. Using Transaction Cost Analysis, four regression models were specified to consider the effect of these staffing plans on personnel and benefit costs and on non-personnel operating costs. A number of additional variables were also included in the models to control for the effect of other organization and environmental determinants of hospital costs. Use of career part-time RNs and experienced staff reduced both personnel and benefit costs, as well as total non-personnel operating costs, while the use of temporary agencies for RNs increased non-personnel operating costs. An RN rich skill mix was not related to either measure of hospital costs. These findings provide partial support of the theory. Implications of our findings for future research on hospital management are discussed. Copyright (C) 1997 Elsevier Science Ltd
引用
收藏
页码:147 / 155
页数:9
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