照顾的回声:工会和所有权如何塑造居民的声音
Kiran Abraham-Aggarwal1, Daniel Spertus2, Geoffrey Gusoff3
1School of Industrial and Labor Relations, Cornell University, Ithaca, NY, USA; Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Post-Baccalaureate Pre-Medical Program, Goucher College, Towson, MD, USA.
Journal of the American Medical Directors Association
|February 8, 2026
概括
纽约的工会养老院报告说,居民抱怨较少. 劳动力组织,所有权和质量评级影响居民倡导和护理环境.
科学领域:
- 老年学和卫生服务研究研究
- 医疗保健管理和政策
- 医疗保健中的劳动关系
背景情况:
- 通过正式投诉来衡量居民的声音,是养老院护理质量的关键指标.
- 了解影响居民倡导的因素对于改善长期护理环境至关重要.
- 劳动力组织的作用,特别是工会化,在塑造居民的声音方面仍然未被充分探索.
研究的目的:
- 调查养老院工会地位与居民声音之间的关系,作为正式投诉运作.
- 探索养老院所有权模式如何与工会地位相互作用以影响居民投诉.
- 确定与工会与非工会设置中的居民投诉相关的设施级特征.
主要方法:
- 来自纽约州511个养老院的2022年设施级数据的横截面分析.
- 居民的声音量化为每100名居民提交给州卫生部门的正式投诉.
- 统计模型检查了工会地位和所有权作为预测因素,控制设施规模,付款人组合,占用率,住院病例和质量评级.
主要成果:
- 工会化的养老院 (70.6%的样本) 的居民投诉明显减少 (57.9对每100名居民的64.4;P = .04).
- 在工会机构中,更高的医疗补助和医疗保险支付者混合与投诉正相关 (P < .001; P = .003).
- 较高的整体质量评级与工会设施的投诉相反相关 (P < .001).
结论:
- 有工会员工的养老院表现出居民声音的独特模式,这表明劳动力组织对护理环境产生了影响.
- 研究结果表明,劳动力结构可能会影响居民倡导改善护理的能力,与所有权和质量互动.
- 对将劳动力组织与居民倡导联系在一起的机制进行进一步的研究是必要的,以告知促进以居民为中心的护理的政策.
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