Anderson G F, Kohn L T
Center for Hospital Finance and Management, Johns Hopkins Health Institutions, Baltimore, MD 21205, USA.
Inquiry. 1996 Spring;33(1):79-84.
This paper examines trends in hospital employment from 1981 to 1993. After controlling for changes in the inpatient and outpatient volume and using a proxy for changes in case mix, the number of hospital employees increased steadily during this period. Most of the growth occurred in the nonclinical areas. There was no statistically significant difference in the employment growth in states with high or low penetration of health maintenance organizations (HMOs), or in states with and without all-payer rate-setting programs, suggesting that neither competitive nor regulatory programs influenced employment trends in the hospital industry.
本文考察了1981年至1993年期间医院就业的趋势。在控制了住院和门诊量的变化，并使用病例组合变化的替代指标后，在此期间医院员工数量稳步增加。大部分增长发生在非临床领域。健康维护组织（HMO）渗透率高或低的州，以及有或没有全支付者费率设定计划的州，其就业增长没有统计学上的显著差异，这表明竞争和监管计划都没有影响医院行业的就业趋势。
