运营中的边界:评估急救部门的护理生产力
Hao Ding1, Sokol Tushe2, Kc Diwas Singh3
1Harbert College of Business, Auburn University.
概括
在急诊室 (ED) 投资更多护士可以提高生产力和收入. 增加护士人员数量可以提高患者护理速度和医院财务状况,这对社会和医疗保健系统都有好处.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 护理学研究 护理学研究
背景情况:
- 由于投资不足,美国面临着持续的护理人员短缺危机.
- 紧急服务部门 (ED) 是关键的护理点,受工作人员数量的影响.
- 了解护理人员的经济影响对于医院管理和政策至关重要.
研究的目的:
- 量化ED中增加护士人员的生产率增长.
- 估计医院的相关收入和社会福利的收益.
- 为了证明投资于护理资源的财务好处.
主要方法:
- 利用了美国一家主要学术医院ED诊所患者访问的高分辨率数据集.
- 采用了依赖时间的危险估计方法,以根据护士工作量分析服务速度.
- 进行反事实模拟,以估计额外护理人员的影响.
主要成果:
- 将护士的患者负载减少1个,将护士在护理的所有患者的服务速度提高14%.
- 增加一个护士到一个繁忙的班次可以节省16万美元的患者工资,并产生47万美元的医院收入每1万次访问.
- 敏感性分析证实,在各种ED环境中,投资于护理是财务上有利的.
结论:
- 在ED中增加护士人员数量会导致效率和财务回报的显著改善.
- 医院管理人员在评估护理投资时,应该考虑直接退款以外的下游利益.
- 投资于护理人员是一个具有成本效益的战略,具有实质性的社会和经济优势.
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