对养老院人员配备水平和标准与监管缺陷之间关系的面板数据分析。
A panel data analysis of the relationships of nursing home staffing levels and standards to regulatory deficiencies.
作者信息
Kim Hongsoo, Kovner Christine, Harrington Charlene, Greene William, Mezey Mathy
机构信息
New York University College of Nursing, 246 Greene Street, Room 602 West, New York, NY 10003, USA.
出版信息
J Gerontol B Psychol Sci Soc Sci. 2009 Mar;64(2):269-78. doi: 10.1093/geronb/gbn019. Epub 2009 Jan 29.
OBJECTIVE
To examine the relationships between nursing staffing levels and nursing home deficiencies.
METHODS
This panel data analysis employed random-effect models that adjusted for unobserved, nursing home-specific heterogeneity over time. Data were obtained from California's long-term care annual cost report data and the Automated Certification and Licensing Administrative Information and Management Systems data from 1999 to 2003, linked with other secondary data sources.
RESULTS
Both total nursing staffing and registered nurse (RN) staffing levels were negatively related to total deficiencies, quality of care deficiencies, and serious deficiencies that may cause harm or jeopardy to nursing home residents. Nursing homes that met the state staffing standard received fewer total deficiencies and quality of care deficiencies than nursing homes that failed to meet the standard. Meeting the state staffing standard was not related to receiving serious deficiencies.
CONCLUSIONS
Total nursing staffing and RN staffing levels were predictors of nursing home quality. Further research is needed on the effectiveness of state minimum staffing standards.
目的
探讨护理人员配备水平与疗养院缺陷之间的关系。
方法
本面板数据分析采用随机效应模型，该模型针对随时间变化的、疗养院特有的未观察到的异质性进行了调整。数据来自加利福尼亚州长期护理年度成本报告数据以及1999年至2003年的自动认证与许可管理信息及管理系统数据，并与其他二手数据源相关联。
结果
护理人员总数和注册护士（RN）配备水平均与总缺陷、护理质量缺陷以及可能对疗养院居民造成伤害或危险的严重缺陷呈负相关。达到州人员配备标准的疗养院比未达标的疗养院总缺陷和护理质量缺陷更少。达到州人员配备标准与严重缺陷的出现无关。
结论
护理人员总数和RN配备水平是疗养院质量的预测指标。需要对州最低人员配备标准的有效性进行进一步研究。
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