熟练护理设施所有权变更对工作人员的影响:分阶差异分析
Rachel A Prusynski1, Harsha Amaravadi2, Bianca K Frogner3
1Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA; Department of Health Systems and Population, University of Washington, Seattle, WA, USA; Center for Health Workforce Studies, University of Washington, Seattle, WA, USA.
Journal of the American Medical Directors Association
|March 2, 2025
概括
熟练护理设施 (SNF) 的所有权变化与整体和护士人员减少有关,尽管患者人口普查增加. 这表明,在满足未来的护士人事最低标准方面,存在潜在的挑战.
科学领域:
- 医疗保健管理的管理
- 护理工作人员护理人员
- 老年医疗护理 医疗护理
背景情况:
- 熟练护理设施 (SNFs) 面临着越来越多的监管监管,特别是关于所有权透明度和最低人事水平的监管.
- 最近的联邦法规强调报告SNF所有权的变化,并建立护士的最低人数.
研究的目的:
- 调查SNF所有权变化与护士,非护士,管理员和合同人员水平的随后变化之间的独立关联.
- 评估SNF所有权转移对人员运营和患者护理资源的影响.
主要方法:
- 利用了从2018年1月到2023年6月的SNF所有权和人员数据的分阶段差异分析.
- 包括11543个SNF,比较人员配置结果 (每天患者数小时) 和所有权变更前后的患者普查,并对各种设施特征进行控制.
主要成果:
- 由于护士人员数量减少了0.09-HPPD,整体人员数量下降了0.07-HPPD,在所有权变化后观察到.
- 所有权变化与非护士人员增加0.02-HPPD和管理人员人员增加0.52小时相关.
- 尽管每天的人口普查增加了2.36名患者,但在所有权转变之后,整体和护士每天的病人的工作时间减少了.
结论:
- 医疗保健基金所有权的变化与整体和关键的护士人员数量的显著下降有关.
- 这些发现引发了人们对所有权转移对SNF人员运营的潜在负面影响的担忧.
- 结果表明,经历了所有权变化的SNF可能会面临更大的困难,在遵守不断变化的最低护士人事标准.
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