美国部分安全网医院和非安全网医院护理人员比例的比较

N. Zakari, Aurora Tafili, H. Hamadi, Mei Zhao, D. R. Haley, Aaron Spaulding
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摘要

研究目的本研究调查了安全网医院(SNHs)与非安全网医院护士人员配备之间的不同关联:这项回顾性横断面研究采用多层次混合效应线性回归模型,纳入了 1,228 家医院的数据:结果表明,与非SNH医院相比,处于不成比例份额医院(DSH)支付最高四分位数的SNH医院的护士配备率较低(β = -0.86;P值< .001),表明护士与患者的比例较低。即使在调整了县和医院因素后,这种关联仍然存在:这些研究结果表明,为弱势群体提供无偿医疗服务所面临的财务挑战可能会影响非公立医院的护士配置。了解SNH与非SNH在护士配备方面的差异可以为提高护理质量提供启示。需要进一步开展研究,探讨护士人员配备对非营利性医院患者治疗效果的影响。
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Comparison of nursing staffing ratio in selected safety net and non-safety net hospitals in the United States
Objective: This study investigated the differential association between nurse staffing in safety-net hospitals (SNHs) and non-SNHs.Methods: This retrospective cross-sectional study utilized multilevel mixed-effects linear regression models and included data from 1,228 hospitals.Results: The results showed that SNHs in the top quartile of disproportionate share hospital (DSH) payments had lower nurse staffing ratios (β = -0.86; p-value < .001), indicating a lower nurse-to-patient ratio, compared to non-SNHs. This association persisted even after adjusting for the county and hospital factors.Conclusions: These findings suggest that nurse staffing in SNHs may be impacted by the financial challenges associated with providing uncompensated care to vulnerable populations. Understanding the differences in nurse staffing between SNHs and non-SNHs can provide insights for improving quality of care. Further research is required to explore the impact of nurse staffing on patient outcomes in SNHs.
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