Mark Barbara A, Harless David W, McCue Michael
School of Nursing, University of North Carolina at Chapel Hill, NC, USA.
Health Econ. 2005 Jul;14(7):737-53. doi: 10.1002/hec.988.
While there are a number of studies examining the relationship between nurse staffing and quality, none has examined structural differences in the relationship between nurse staffing and quality contingent upon the level of managed care penetration. We used administrative data, and a dynamic panel data model to examine this relationship in a panel of 422 acute care hospitals from 1990 to 1995. We found that there were significant differences in the relationship between nurse staffing and both mortality and length of stay depending upon the level of HMO penetration in the hospital's market.
虽然有许多研究探讨了护士配备与质量之间的关系，但没有一项研究考察了基于管理式医疗渗透水平的护士配备与质量之间关系的结构差异。我们使用行政数据和动态面板数据模型，对1990年至1995年期间422家急性护理医院的面板数据进行分析，以研究这种关系。我们发现，根据医院市场中健康维护组织（HMO）的渗透水平，护士配备与死亡率和住院时间之间的关系存在显著差异。
