• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>Innovation in Aging >The Impact of Leadership Styles on Quality and Financial Performance in High Medicaid Nursing Homes
【2h】

The Impact of Leadership Styles on Quality and Financial Performance in High Medicaid Nursing Homes

机译：领导风格对高医疗保健家庭质量和财务表现的影响

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

This study examines the association between leadership styles on resident quality and financial performance in under resourced nursing homes (70% or higher Medicaid census). The Bonoma/Slevin leadership model was used to classify managers into four categories, autocrat, consultative autocrat, consensus manager, and shareholder manager. Survey data from 391 nursing home directors (response rate of 37%) from 2017- 2018, were merged with secondary data from LTCFocus, Area Health Resource File, Medicare Cost Reports, and Nursing Home Compare. Two models were ran to examine the effect of leadership styles on the dependent variable(s) nursing home STAR data (quality) and operating margin (financial performance). The independent variables were composite scores for leadership styles, with autocrat as the reference group. Control variables included organizational (ownership, chain affiliation, size, occupancy, payer mix, staffing, and race/ethnicity), and county factors (Medicare Advantage penetration, per capita income, poverty, education, unemployment, and competition). Multivariate regression was used to model the relationship between leadership styles and nursing home quality and financial performance. The consultative autocrat was associated with lower quality (p < 0.05), while the consensus manager was associated with lower profit margin (p < 0.05), as compared to autocratic leadership. The consultative autocrat, who solicits information from the staff yet still makes all significant decisions, is associated in lower quality; however, a consensus manager, who delegates their authority to the group, is associated with lower financial performance. Under-resourced nursing homes who face dual pressures need to recognize trade-offs of different decision making styles for quality and financial performance.
机译：本研究探讨了资源养老院居民质量和财务绩效的领导风格之间的关联（70％或更高的医疗补助人口普查）。 BONONA / SELVIN领导模式用于将管理人员分为四类，专制，咨询专业，共识经理和股东经理。从2017年2017年的391名护理家庭董事（响应率为37％的响应率）与LTCFocus，地区健康资源文件，Medicare成本报告和护理家庭的次要数据合并。两种模型是竞价检查领导风格对受抚养变量护理主星数据（质量）和运营保证金（财务表现）的影响。独立变量是领导风格的综合评分，作为参考组的自主。控制变量包括组织（所有权，连锁从属，大小，占用，付款人组合，人员配置和种族/种族），县因素（Medicare优势渗透，人均收入，贫困，教育，失业和竞争）。多元回归用于模拟领导风格与护理家庭质量和财务表现之间的关系。与专制领导相比，咨询专制与较低的质量相关（P <0.05），同时与较低的利润率有关（P <0.05）。从员工签名信息仍然做出所有重大决策的咨询专制，较低的质量相关;但是，将其权力授权对本集团授权的共识经理与较低的财务业绩有关。资源不足的养老院，他们需要识别不同决策的权衡，以获得质量和财务表现。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号