Coulmont Michel, Roy Chantale, Dumas Lucie
Department of Accounting, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
Health Care Manag (Frederick). 2013 Jan-Mar;32(1):87-95. doi: 10.1097/HCM.0b013e31827edbfe.
Although the Planetree patient-centered approach to care is being implemented in many institutions around the world, its impact is still the subject of some debate. On the one hand, it is viewed as the most cost-effective way to provide care and create a positive work environment that reduces staff burnout. On the other hand, it is argued that it requires higher staffing ratios and a substantial infusion of financial resources and is time consuming, which in turn results in more work. The present study addresses the economic agenda of the Planetree patient-centered approach to care and has been designed to answer the following question: do the advantages of the Planetree patient-centered approach outweigh its costs? This question is of considerable interest for health care administrators and managers because the relevant authorities the world over have limited resources to allocate to health care organizations. Using a trend analysis approach to cost-benefit in a rehabilitation center, this study shows that the revenues the model generates are greater than the costs of implementing it. Fewer grievances and vacant positions, an improved employee retention rate, a better working atmosphere, and a high level of employee satisfaction (higher than in similar establishments) were also noted.
尽管以患者为中心的普莱尼特瑞护理模式正在全球许多机构中实施，但其影响仍存在一些争议。一方面，它被视为提供护理和营造积极工作环境以减少员工倦怠的最具成本效益的方式。另一方面，有人认为它需要更高的人员配备比例和大量资金投入，而且耗时，这反过来又会导致更多工作。本研究探讨了以患者为中心的普莱尼特瑞护理模式的经济议程，并旨在回答以下问题：普莱尼特瑞以患者为中心的护理模式的优势是否超过其成本？这个问题对于医疗保健管理人员和经理来说具有相当大的兴趣，因为世界各地的相关当局用于分配给医疗保健组织的资源有限。通过在一家康复中心采用趋势分析方法进行成本效益分析，本研究表明该模式产生的收入大于实施成本。还注意到投诉和空缺职位减少、员工保留率提高、工作氛围改善以及员工满意度较高（高于类似机构）。
