University of Nevada Las Vegas, Las Vegas, NV, USA.
LSU Health Sciences Center - New Orleans, New Orleans, LA, USA.
Inquiry. 2023 Jan-Dec;60:469580231159315. doi: 10.1177/00469580231159315.
Healthcare associated infections (HAIs) are a concern to patients, hospital administrators and policymakers. For over than a decade, efforts have been made to hold hospitals accountable for the costs of HAIs. This study uses contingency theory as a framework to examine the association between HAIs and hospital financial performance. We use publicly available data on 2059 hospitals in 2014 to 2016 that include HAIs, staffing financial performance, and hospital and hospital market characteristics. The key independent variables are available infection rates and nurse staffing. The dependent variables are indicators of financial performance: operating margin, total margin, and days cash on hand. We find nearly identical negative direct associations between infections and operating margins and total margins (-0.07%), and positive associations between the interaction of infections and nurse staffing (0.05%). A 10% higher infection rate would be predicted to be associated with only a 0.2% lower profit margin. The associations between HAIs, nurse staffing and days cash on hand were insignificantly different from zero.
医疗保健相关感染（HAIs）是患者、医院管理人员和政策制定者关注的问题。十多年来，一直努力要求医院对 HAI 相关成本负责。本研究使用权变理论作为框架，考察 HAI 与医院财务绩效之间的关联。我们使用了 2014 年至 2016 年 2059 家医院的公开可用数据，这些数据包括 HAI、人员配备财务绩效以及医院和医院市场特征。关键的自变量是现有的感染率和护士人员配备。因变量是财务绩效指标：营业利润率、总利润率和手头现金天数。我们发现感染与营业利润率和总利润率之间存在几乎相同的负直接关联（-0.07%），感染与护士人员配备的交互作用呈正相关（0.05%）。预计感染率每增加 10%，利润率就会降低 0.2%。HAI、护士人员配备和手头现金天数之间的关联与零没有显著差异。
