Arndt M, Crane S
Graduate School of Management, Clark University, Worcester, MA, USA.
J Soc Health Syst. 1998;5(4):38-49.
This study explores influences on nursing care volume per case in four DRGs and five hospitals. After accounting for the effects of length of stay, patient characteristics, and severity of illness, the direct effect of factors describing the nursing staff and hospital was assessed. Skill mix and standing orders each were significant in one or more DRGs, but there was no significant association between the volume of nursing care and occupancy or staff availability. The management and research implications of the findings are discussed.
本研究探讨了四个诊断相关分组（DRG）和五家医院中每个病例护理量的影响因素。在考虑了住院时间、患者特征和疾病严重程度的影响后，评估了描述护理人员和医院的因素的直接影响。技能组合和常规医嘱在一个或多个DRG中均具有显著意义，但护理量与床位占用率或人员可用性之间没有显著关联。文中讨论了研究结果对管理和研究的启示。
