机构人员和医院财务绩效:见解和影响
Rohit Pradhan1, Bradley Beauvais1, Zo Ramamonjiarivelo1
1School of Health Administration, Texas State University, San Marcos, TX, 78666, USA.
Journal of healthcare leadership
|October 9, 2024
概括
医院人员短缺导致机构劳动力使用,影响财务业绩. 增加的代理成本与更高的收入和支出相关,需要战略财务管理.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 医院管理局 医院管理局
背景情况:
- 医院面临着严重的人员短缺,导致对昂贵的机构人员的依赖增加.
- 这种依赖引起了人们对医疗保健机构的财务稳定性和业绩的担忧.
研究的目的:
- 调查机构劳动力成本与医院财务业绩之间的关联.
- 分析机构员工对美国医院关键财务指标的影响.
主要方法:
- 分析了2022年美国2771家短期急性护理医院的数据.
- 多变量线性回归使用患者净收入,每张床的运营收入和每张床的运营费用作为财务绩效指标.
- 包括组织和市场层面的控制变量.
主要成果:
- 机构劳动力成本与患者净收入有显著的积极关联 (β = 0.224,p < 0.001).
- 机构劳动力成本也与每张床的运营收入更高 (β = 0.042,p < 0.001) 和每张床的运营费用 (β = 0.032,p < 0.001) 有关.
结论:
- 增加的代理劳动力与医院收入的增加有关,但运营费用也更高.
- 医院必须战略性地管理机构人员,以平衡营收与成本控制,并确保满足患者护理需求.
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