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首页> 外文学位 >Nursing cost per acute care episode---Exploring relationships using patient level data.
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Nursing cost per acute care episode---Exploring relationships using patient level data.

机译：每次急性护理发作的护理费用---使用患者水平数据探索关系。

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摘要

n an era of patient centered, value-based health care, the value of the largest labor sector in the hospital setting, the nurse, is unknown. Traditional methods of accounting for nursing services have included measuring nursing hours per patient day, which is a unit level measurement that does not include variability in nursing care at the patient level. The purpose of the study was 1) to explore the variability of nursing cost per acute care episode for patients with similar DRGs with or without major complications; 2) to investigate the relationship among patient characteristics, nurse characteristics, nursing intensity, and nursing cost as a patient outcome. A retrospective, exploratory, cost study using secondary patient level data was completed. The study site was one general medical surgical unit in a large academic medical center. De-identified data from three databases were merged into a single file and analyzed using Stata software. Correlation analysis and regression analysis were used to explore relationships among patient characteristics, nursing characteristics, and nursing cost per acute care episode. Microeconometric measurement was used to determine the elasticity of nursing characteristics on acuity and nursing cost. Key findings included 1) patients with the same diagnosis have large variability in nursing intensity and nursing cost by shift, day and acute care episode; 2) nurses may not be assigned patients based on experience and education level; 3) direct nursing cost per patient on the study unit was
机译：在以患者为中心，基于价值的医疗保健时代，医院环境中最大的劳动力部门护士的价值是未知的。传统的护理服务会计方法包括测量每个患者每天的护理时间，这是一个单位级别的度量，不包括患者级别护理的差异性。该研究的目的是：1）探索具有或没有重大并发症的相似DRG患者每次急诊护理费用的变化； 2）研究患者特征，护士特征，护理强度和护理费用之间的关系，作为患者的结局。使用二级患者水平数据的回顾性，探索性费用研究已经完成。研究地点是大型学术医疗中心的一个普通外科手术室。来自三个数据库的未识别数据被合并到一个文件中，并使用Stata软件进行分析。相关分析和回归分析用于探讨患者特征，护理特征和每次急性护理发作的护理费用之间的关系。用微计量经济学方法确定护理特性对视力和护理成本的弹性。主要发现包括：1）诊断相同的患者，其护理强度和护理费用在轮班，日间和急性护理发作方面差异较大； 2）可能不会根据经验和教育水平为护士分配患者； 3）研究单位每位患者的直接护理费用为

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  • 作者

    Jenkins, Peggy Ann.;

  • 作者单位

    University of Colorado Denver, Anschutz Medical Campus.;

  • 授予单位 University of Colorado Denver, Anschutz Medical Campus.;
  • 学科 Health Sciences Nursing.;Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 170 p.
  • 总页数 170
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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