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医院内部的规模缩减:削减的是医疗服务还是仅仅是成本?

Downsizing within a hospital: cutting care or just costs?

作者信息

Brown Claire, Arnetz Bengt, Petersson Ove

机构信息

Section for Social Medicine, Department of Public Health and Caring Sciences, Uppsala Science Park, SE-751 85 Uppsala, Sweden.

出版信息

Soc Sci Med. 2003 Nov;57(9):1539-46. doi: 10.1016/s0277-9536(02)00556-7.

DOI:10.1016/s0277-9536(02)00556-7
PMID:12948565
Abstract

Downsizing of staff is becoming increasingly common in hospitals as a way to meet the demands of shrinking budgets. This study, based in Sweden, used a longitudinal design to study staff views of their work environment, their individual health and the quality of the care they were delivering during a period of hospital downsizing. Although there were no significant changes in perceptions of quality of care, perceptions of workload substantially increased whilst perceptions of mental energy substantially decreased. These two changes could point to future problems with quality of care after a period of hospital downsizing.

摘要

随着医院预算不断缩减,裁员现象日益普遍。这项基于瑞典开展的研究采用纵向设计,旨在探究在医院裁员期间,员工对其工作环境、个人健康状况以及所提供护理质量的看法。尽管员工对护理质量的认知没有显著变化,但对工作量的认知大幅增加,而对精神能量的认知则大幅下降。这两个变化可能预示着医院裁员一段时间后护理质量会出现问题。

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