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首页> 外文期刊>Journal of health economics >The effect of workforce assignment on performance: Evidence from home health care
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The effect of workforce assignment on performance: Evidence from home health care

机译：劳动力分配对绩效的影响：家庭保健的证据

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Effective workforce assignment has the potential for improving performance. Using novel home health data combining provider work logs, personnel data, and detailed patient records, we estimate the effect of provider handoffs-a marker of care discontinuity-on hospital readmissions, an important performance measure for healthcare systems. We use workflow interruption caused by attrition and providers' work inactivity as an instrument for nurse handoffs. We find handoffs to substantially increase hospital readmissions. Our estimates imply that a single handoff increases the likelihood of 30-day hospital readmission by 16 percent and one in four hospitalizations during home health care would be avoided if handoffs were eliminated. Moreover, handoffs are more detrimental for high-severity patients and expedite hospital readmission. The frequency and sequencing of handoffs also affect the likelihood of rehospitalization. (C) 2018 Elsevier B.V. All rights reserved.
机译：有效的员工分配具有改善绩效的潜力。使用新颖的家庭健康数据，结合提供者的工作日志，人员数据和详细的患者记录，我们可以估算提供者交接的效果（护理中断的标志）对医院再入院率的影响，这是医疗系统的一项重要绩效指标。我们将人员流失和医护人员闲置导致的工作流中断作为护士交接的工具。我们发现交接会大大增加医院的再入院率。我们的估计表明，一次移交可将30天医院再入院的可能性提高16％，如果消除移交，将避免在家庭保健期间四分之一的住院治疗。此外，交接对高病患患者更有害，并加快了住院率。交接的频率和顺序也影响重新住院的可能性。 （C）2018 Elsevier B.V.保留所有权利。

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