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Single specialty hospitals and nurse staffing patterns
Kathleen Carey1, James F Burgess, Gary J Young
1U.S. Department of Veterans Affairs, USA.
Medical Care Research and Review : MCRR
|January 27, 2009
Summary
Physician-owned specialty hospitals may improve nurse staffing. General hospitals in markets with new specialty hospitals increased registered nurse (RN) staffing levels, suggesting a competitive impact on quality indicators.
Area of Science:
- Health Services Research
- Hospital Management
- Nursing Workforce Studies
Background:
- Physician-owned single specialty hospitals (SSHs) are theorized to enhance competition.
- This competition may pressure existing general hospitals to improve quality indicators.
Purpose of the Study:
- To investigate the impact of SSH entry on nurse staffing levels in competing general hospitals.
- To assess if SSHs influence registered nurse (RN) staffing as a proxy for quality of care.
Main Methods:
- Longitudinal panel data analysis from 1997-2004 in ten states with significant SSH entry.
- Regression models with hospital fixed effects compared RN staffing in general hospitals in markets with and without SSHs.
Main Results:
- General hospitals in markets with orthopedic/surgical SSH presence showed an increase in registered nurse (RN) staffing levels.
- This suggests a measurable effect of SSH competition on hospital staffing.
Conclusions:
- The entry of specialty hospitals appears to positively influence nurse staffing in competing general hospitals.
- Further research is needed to determine if these staffing changes correlate with improved patient outcomes.
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