监管框架如何推动家庭护理机构的差异:来自瑞士国家多中心横截面研究的结果
Nathalie Möckli1, Matthias Wächter2, Giusi Moffa3
1Nursing Science, Department of Public Health, University of Basel, Basel, Switzerland.
The International journal of health planning and management
|December 1, 2023
概括
金融和监管机制对家庭护理机构产生重大影响,影响服务,就业和成本. 调整激励措施对于可持续,高质量的家庭护理服务至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保健成本上升和可持续性问题需要了解监管影响.
- 关于医疗保健改革如何影响家庭护理机构和服务供应的证据有限.
研究的目的:
- 探索影响家庭护理机构的金融和监管机制.
- 确定这些机制如何推动组织结构,流程和工作环境的差异.
主要方法:
- 对88家瑞士家庭护理机构和3223名员工进行的横截面研究.
- 通过金融/监管机制对集群机构进行集群分析.
- 统计测试 (费舍尔精确,ANOVA,克鲁斯卡尔-瓦利斯) 和拉索回归来分析差异和预测因素.
主要成果:
- 根据金融和监管机制确定了四个不同的机构组.
- 在服务范围/数量,就业条件和成本结构上观察到的显著差异.
- 具有服务义务的机构显示出最突出的差异.
结论:
- 财政激励措施必须与可持续,可访问,高质量的家庭护理的目标保持一致.
- 了解监管和财务驱动因素是优化家庭护理机构运营的关键.
- 服务义务是家庭护理机构模式中的关键差异化因素.
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