Author Affiliations: Associate Professor (Dr Spaulding), Health Services Research, Mayo Clinic; Associate Professor (Dr Hamadi), Health Administration, University of North Florida; Instructor (Dr Moody), Health Administration, University of North Florida; and Instructor (Ms Lentz), Clinical Document Integrity, Mayo Clinic, Jacksonville; Associate Professor (Dr Liu), Health Management and Informatics, University of Central Florida, Orlando; and Advanced Registered Nurse Practitioner (Dr Wu), Mechanical Circulatory Support (MCS) Team, Heart/Lung Transplant Department, University of California San Francisco.
J Nurs Adm. 2020 Jul/Aug;50(7-8):395-401. doi: 10.1097/NNA.0000000000000906.
The aim of this study was to explore the relationship between a hospital's Magnet recognition status, tenure, and its performance in the Hospital Value-Based Purchasing (HVBP) program.
Previous studies have sought to determine associations between quality of care provided in inpatient setting and the Magnet Recognition Program; however, no study has done so using the most recent (FY2017) iteration of the HVBP program, nor determined the influence a hospital's Magnet designation tenure has on HVBP scores.
This study used a cross-sectional study design of 2686 hospitals using propensity score matching to reduce bias and improve comparability.
Magnet-designated hospitals were associated with higher total performance, process of care and patient experience of care scores, and lower efficiency score. No association was identified between the length of time hospitals have been Magnet designated.
Findings suggest non-Magnet status hospitals need to consider implementing the principles of Magnet into their culture or participation in the Magnet Recognition Program to provide higher quality of care.
本研究旨在探讨医院获得磁性认可的状态、任期与其在医院价值为基础的购买（HVBP）计划中的表现之间的关系。
先前的研究试图确定住院环境中提供的护理质量与磁性认可计划之间的关联；然而，没有研究使用 HVBP 计划的最新（2017 财年）迭代来这样做，也没有确定医院磁性指定任期对 HVBP 分数的影响。
本研究使用了 2686 家医院的横断面研究设计，采用倾向评分匹配来减少偏差并提高可比性。
磁性指定医院与更高的总绩效、护理过程和患者护理体验评分以及更低的效率评分相关。医院获得磁性指定的时间长短与没有关联。
研究结果表明，非磁性状态的医院需要考虑将磁性原则纳入其文化或参与磁性认可计划，以提供更高质量的护理。
