探索成年人日间服务的员工人数:利地位是否重要?
Eleanor Batista-Malat1, Mengzhao Yan1, Kathleen H Wilber1
1Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
Journal of the American Medical Directors Association
|January 22, 2024
概括
营利性成人日间服务中心 (ADSC) 比非营利性中心提供更少的员工时间. 这项研究突出了长期护理部门在护理质量方面的潜在差异.
科学领域:
- 老年学和长期护理
- 医疗保健服务研究 医疗服务研究
- 组织研究 组织研究
背景情况:
- 成人日间服务中心 (ADSCs) 对于长期护理至关重要,为包括老年人和残疾人在内的不同人群提供服务.
- 尽管ADSC很重要,但ADSC的质量,特别是人员数量,仍未得到充分研究.
- 员工水平是长期护理机构 (如养老院) 质量的公认指标.
研究的目的:
- 调查和比较营利性和非营利性/政府经营的ADSC之间的员工水平.
- 检查人员配置作为影响ADSC质量的关键组织因素.
- 根据ADSC所有权类型,识别护理提供中的潜在差异.
主要方法:
- 利用来自ADSC全国代表性调查的横截面二次数据 (n=573).
- 使用双变量比较和多变量线性回归来分析人员数据.
- 以每名参与者每天的数小时来衡量员工数量,控制中心的特点.
主要成果:
- 非营利性/政府经营的ADSC约占样本的60%.
- 非营利性/政府经营的ADSC平均每天每名参与者工作1.9小时,而营利性中心平均工作1.5小时.
- 营利性ADSC的每日员工工作时间减少了15.8%,即使控制了关键变量 (P=.047).
结论:
- 与非营利性/政府同行相比,营利性ADSC的员工数量明显较低.
- 进一步的研究是必不可少的,以将人员变化与ADSC的实际护理质量联系起来.
- 调查这些人员差异如何影响不同参与者群体 (收入,种族,敏度) 的护理是至关重要的.
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