医院所有权类型与对护理服务的投资相关:来自伊利诺伊州的证据
K Jane Muir1,2,3, Kathy S Sliwinski4, Daniela Golinelli1
1Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.
Medical care
|August 4, 2025
概括
与非营利性医院相比,营利性医院对护理服务的投资较低,患者护理质量较差. 尽管运营利率相似,但这些差异仍然存在,影响了护士的工作满意度和患者安全结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理经济学 护理经济学
- 医院管理 医院管理
背景情况:
- 公众越来越关注医院所有权类型如何影响患者护理质量.
- 了解营利性和非营利性医院之间的财务和运营差异对于医疗保健政策至关重要.
- 医院所有权的变化可能会影响对护理和患者安全的资源配置.
研究的目的:
- 为了比较营利性和非营利性医院在护理服务方面的投资.
- 根据医院所有权,检查患者护理质量和安全结果的差异.
- 评估不同医院所有权类型的护士工作结果的变化,包括倦怠和留守.
主要方法:
- 在2021年,在113个伊利诺伊州医院进行了一项横截面的描述性案例研究.
- 数据来自RN4CAST-IL护士调查,NASHP成本数据和AHA年度医院调查.
- 关键指标包括护士员工比例,工作环境,护士倦怠,工作不满,离开的意图和患者安全等级.
主要成果:
- 与非营利性医院相比,营利性医院对护理服务的投资明显较低,护士的工作环境较差.
- 营利性机构的护士工作结果更糟糕,燃烧率更高,工作不满意度更高,有意离开.
- 营利性医院的患者护理质量和安全结果较差,以较低的安全等级和较差的员工比例为证.
结论:
- 营利性医院在护理服务和患者护理质量方面的投资低于非营利性机构.
- 尽管运营利率相似,但营利性医院的护士工作成果和患者安全状况较差.
- 这些发现表明,需要采取政策干预措施,以解决与医院所有权相关的护理质量差异.
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