Hospital staffing adjustments under global budgeting

dc.contributor.authorLehner, L. A.en
dc.contributor.authorBurgess, J. F., Jr.en
dc.contributor.authorStefos, T.en
dc.date.accessioned2015-11-24T19:13:13Z
dc.date.available2015-11-24T19:13:13Z
dc.identifier.issn8750-3735-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21166
dc.rightsDefault Licence-
dc.subjectBudgets/*organization & administrationen
dc.subjectData Collectionen
dc.subjectHealth Expenditures/*statistics & numerical dataen
dc.subjectHospitals, Veterans/economics/*manpower/standardsen
dc.subjectPersonnel Staffing and Scheduling/*statistics & numerical dataen
dc.subjectPersonnel, Hospital/*economics/statistics & numerical dataen
dc.subjectQuality of Health Careen
dc.subjectUnited Statesen
dc.subjectUnited States Department of Veterans Affairsen
dc.titleHospital staffing adjustments under global budgetingen
heal.abstractThe U.S. Department of Veterans Affairs operates a hospital system that distributes a national global budget to 159 hospital units. Over recent years, cost containment and downward budgetary pressures have affected hospital performance and the quality of care delivered in unknown ways. This article examines hospital staffing levels as potential performance measures. We first develop a regression model to estimate the number and types of clinical staff required to meet current inpatient workloads at VA medical centers. We are able to improve on previous analyses by employing better data on physicians and by evaluating the behavior of hospitals in consecutive years. Our findings provide managers of hospital systems with promising new approaches for comparing hospital production processes and more information on the effects of global budgeting on individual hospital staffing within systems.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/10153372-
heal.journalNameHosp Health Serv Admen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate1995-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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