参与医疗保险共享储蓄计划的养老院对员工和缺陷引文的影响
Huang Huang1, Xi Zhu2, George Wehby3
1Department of Health Management, Economics and Policy, School of Public Health, Augusta University, Augusta, GA, USA.
概括
医疗保险共享储蓄计划 (MSSP) 增加了养老院注册护士 (RN) 的员工,但减少了执照实践护士 (LPN) 的员工. 这种以价值为基础的护理模式也与较少的缺陷引用有关.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是指老年学的学科.
- 医疗保健政策 医疗保健政策
背景情况:
- 医疗保险共享储蓄计划 (MSSP) 是美国的一项主要基于价值的支付计划.
- 了解它对养老院的影响对于质量护理至关重要.
- 目前对MSSP对养老院运营的影响的了解有限.
研究的目的:
- 检查养老院参与MSSP如何影响员工数量.
- 评估MSSP参与和缺陷引用之间的关系.
- 提供关于基于价值的护理在护理机构的运营效应的见解.
主要方法:
- 利用了2013年至2018年间所有美国养老院的综合数据.
- 使用差异差异模型进行因果推理.
- 分析了人员 (RN,LPN) 的变化和缺陷引用.
主要成果:
- 参与MSSP与注册护士 (RN) 人员数量的增加有关.
- 观察到执照实践护士 (LPN) 人员数量有所减少.
- 发现缺陷引文数量显著下降.
结论:
- 参与MSSP似乎改变了养老院人员配置模式.
- 该计划可能有助于提高质量结果,缺陷较少.
- 需要进一步的研究来探索对运营,护理质量和患者健康的全部影响.
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