国家养老院最低人事任务:增加员工数量,对财务和关闭的影响最小,2010-23年
Rachel M Werner1, Xinwei Chen2, Norma B Coe3
1Rachel M. Werner (rwerner@upenn.edu), University of Pennsylvania and Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Health affairs (Project Hope)
|March 2, 2026
概括
养老院的最低人事任务增加了5%的直接护理人员,增加了收入,并没有影响财务健康或关闭率. 这些政策提高了人员配置,而不会危及设施的可行性.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 更高的养老院人员数量改善了居民的结果.
- 人们担心,最低人事任务可能会对设施的财务产生负面影响,并导致其关闭.
研究的目的:
- 评估国家最低人事授权对养老院人事水平,财务绩效和关闭率的影响.
主要方法:
- 分析了2010-2023年间来自22个州的6849个养老院的纵向数据.
- 估计最低人事任务对员工工作时间,劳动力费用,患者净收入和关闭可能性的影响.
主要成果:
- 员工授权使直接护理人员的总人数增加了大约5% (0.18小时/居民日).
- 有执照的实践护士和认证的护士助理工作时间增加.
- 年度劳动力开支增加了约273,000美元,但被增加的患者净收入约546,000美元抵消,净利率保持不变.
- 授权并没有增加设施关闭的可能性.
结论:
- 最低人事任务可以有效地提高养老院的直接护理人员数量.
- 这些任务似乎不会对养老机构的财务可行性产生负面影响,也不会增加养老机构的关闭率.
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