The Impact of Nursing Staff on Satisfaction Scores for US Hospitals: A Production Function Approach

被引：8

作者：

Delhy, Roberto ^{[1
]}

Dor, Avi ^{[1
,2
]}

Pittman, Patricia ^{[1
]}

机构：

[1] George Washington Univ, Washington, DC USA

[2] Natl Bur Econ Res, Cambridge, MA 02138 USA

来源：

MEDICAL CARE RESEARCH AND REVIEW | 2021年 / 78卷 / 06期

基金：

美国医疗保健研究与质量局;

关键词：

production function; HCAHPS; hospital quality; nursing economics; nurse assistants; ASSISTIVE PERSONNEL; PATIENT EXPERIENCE; CARE; MORTALITY; QUALITY; NURSES; COST;

D O I：

10.1177/1077558720950572

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Hospitals have increasingly relied on nurse assistants to support nurses in the provision of patient care, yet knowledge about their contributions to the patient experience in U.S. hospitals is limited. We address this issue by exploring the impact of nurse assistants and registered nurses on an array of patient satisfaction measures from the Medicare Hospital Consumer Assessment of Healthcare Providers and Systems. Using linked data for 2,807 hospitals from 2008 to 2016, we employ a production function approach to estimate and plot marginal impact curves for both nurse assistants and registered nurses. We find that although registered nurses are more impactful, nurse assistants are the more underdeployed staffing category. We also find that after meeting certain thresholds for minimal hours, nurse assistants have a comparative advantage in improving patient satisfaction scores in the housekeeping and patient support domain. Given their lower labor costs, further employment of nurse assistants may be warranted.

引用

页码：672 / 683

页数：12

共 46 条

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