Wan Thomas T H, Hsu Nanly, Feng Rung-chuang, Ma Allen, Pan Shuang-an, Chou Mei-chi
Department of Health Administration, Virginia Commonwealth University, Richmond 23298, USA.
J Med Syst. 2002 Feb;26(1):21-7. doi: 10.1023/a:1013086703159.
The variation in productivity and cost efficiency has been observed among 57 nursing units in a large tertiary care hospital. The inefficient units can achieve the same level of efficiency as the efficient units by altering their inputs (either nursing hours or patient costs). The optimization can be achieved through proper reallocations of nursing resources such as nursing hours or costs. However, the resource reallocation to achieve high efficiency should not be at the expense of quality of care. Future efficiency studies should incorporate the nursing sensitive measures of quality in the analysis.
在一家大型三级护理医院的57个护理单元中观察到了生产率和成本效率的差异。效率低下的单元可以通过改变其投入(护理时长或患者成本)来达到与高效单元相同的效率水平。可以通过合理重新分配护理资源,如护理时长或成本,来实现优化。然而,为实现高效率而进行的资源重新分配不应以牺牲护理质量为代价。未来的效率研究应在分析中纳入护理质量敏感指标。