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在CareGivers NC计划之后,养老院的结果:对员工和质量表现的多年评估
Swati S Jha1, Redwan Bin Abdul Baten1, Trent J Spaulding2
1Department of Health Policy and Management, University of North Carolina Charlotte, Charlotte, NC, USA.
概括
北卡罗来纳州的CareGivers NC计划旨在解决养老院工作人员短缺问题,但没有改善工作时间或质量结果. 需要综合改革,不仅仅是劳动力战略.
科学领域:
- 医疗保健管理的管理
- 老年学是一门学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 养老院面临着严重的劳动力危机,特别是认证护理助理 (CNA).
- 像北卡罗来纳州CareGivers NC计划这样的州级倡议旨在缓解这些短缺问题.
- 这种以劳动力为中心的干预措施对质量结果的有效性仍然被低估.
研究的目的:
- 评估CareGivers NC计划对北卡罗来纳州养老院人员数量和质量指标的影响.
- 确定是否参与国家主导的CNA倡议导致养老院绩效的可衡量的改善.
主要方法:
- 使用差异差异分析与倾向得分匹配相结合.
- 分析了从2019年到2024年第二季度的参与和非参与养老院的绩效数据.
- 检查了总数,员工和合同CNA小时的变化,以及医疗保险和医疗补助服务中心 (CMS) 的质量评级.
主要成果:
- 计划参与者经历了总和员工CNA小时的显著减少.
- 在参与者中观察到合同CNA小时的边际增加.
- 没有发现CMS质量评级的持续改善;人员和质量衡量指标的评级大幅下降.
结论:
- 像CareGivers NC这样仅限于劳动力的干预措施在提高养老院质量方面表现出有限的有效性.
- 综合改革至关重要,将人事战略与领导力,政策和环境考虑相结合.
- 解决医疗保健部门的年龄歧视对于可持续的劳动力解决方案至关重要.
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