Needleman Jack, Buerhaus Peter I, Stewart Maureen, Zelevinsky Katya, Mattke Soeren
Department of Health Services, School of Public Health, University of California, Los Angeles, CA, USA.
Health Aff (Millwood). 2006 Jan-Feb;25(1):204-11. doi: 10.1377/hlthaff.25.1.204.
We construct national estimates of the cost of increasing hospital nurse staffing and associated reductions in days, deaths, and adverse outcomes. Raising the proportion of nursing hours provided by registered nurses (RNs) without increasing total nursing hours is associated with a net reduction in costs. Increasing nursing hours, with or without increasing the proportion of hours provided by RNs, reduces days, adverse outcomes, and patient deaths, but with a net increase in hospital costs of 1.5 percent or less at the staffing levels modeled. Whether or not staffing should be increased depends on the value patients and payers assign to avoided deaths and complications.
我们构建了关于增加医院护士配备成本以及相关住院天数、死亡人数和不良后果减少情况的全国性估计数据。在不增加总护理时长的情况下提高注册护士（RN）提供的护理时长比例会带来成本的净降低。无论是否提高RN提供的护理时长比例，增加护理时长都能减少住院天数、不良后果和患者死亡人数，但在所模拟的人员配备水平下，医院成本仅净增加1.5%或更低。是否应增加人员配备取决于患者和支付方对避免死亡和并发症所赋予的价值。
