谁没有说话? 医疗保健员工福利调查中的非响应偏差
C Aubrey Rhodes1, Xi Hu2, Richard B Freeman3
1Department of Informatics, King's College London, London, United Kingdom, and Atalan Tech, Philadelphia, Pennsylvania.
概括
医疗保健员工调查的响应率往往很低,导致结果偏差. 非受访者,特别是那些面临更高的营业额或更低的生产率风险的人,不太可能参与,从而扭曲了组织的洞察力和干预.
科学领域:
- 医疗管理
- 组织行为
- 医疗服务研究
背景情况:
- 员工福利调查对于医疗保健领导人来说至关重要,
- 低的调查响应率可能会显著影响调查结果,限制报告的劳动力运作有效性.
- 由于从非受访者获得结果数据的挑战,对非回应偏差的研究有限.
研究的目的:
- 调查员工调查受访者与非受访者在人口统计,流动和职能方面的差异.
- 通过分析非响应偏差来确定员工福利调查结果是否有效.
- 为了更好的决策,向医疗保健领导人提供调查数据中的潜在偏见.
主要方法:
- 一项纵向研究包括来自产科和妇科诊所的医生和高级从业人员.
- 人口统计数据,营业额 (追踪时间为1.25年),生产率 (RVU) 和工作模式从电子健康记录和HRIS中收集.
- 评估了受访者与非受访者之间营业额的相对风险和生产率差异.
主要成果:
- 在调查后,高级从业者非受访者的流动风险增加了10到12倍,尤其是在未到退休年龄的人群中.
- 退休年龄以下的非回应医生在两个季度内出现5倍的转换风险.
- 非受访者AP年龄较大,更有可能结婚;对于医生来说,没有发现人口差异.
结论:
- 较高风险的个人 (营业额,生产率低) 不太可能完成员工调查,这表明不响应偏差很大.
- 仅仅依靠调查数据可能导致关于劳动力运作和无效干预的不准确结论.
- 医疗保健领导者应将客观数据 (EHR,HRIS) 与调查结果相结合,以全面了解员工的幸福感并减轻偏见.
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