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Hospital staffing adjustments under global budgeting.
Hosp Health Serv Adm. 1995 Winter; 40(4):509-23.HH

Abstract

The 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.

Authors+Show Affiliations

U.S. Department of Veterans Affairs, Management Science Group, Bedford, MA 01730, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

10153372

Citation

Lehner, L A., et al. "Hospital Staffing Adjustments Under Global Budgeting." Hospital & Health Services Administration, vol. 40, no. 4, 1995, pp. 509-23.
Lehner LA, Burgess JF, Stefos T. Hospital staffing adjustments under global budgeting. Hosp Health Serv Adm. 1995;40(4):509-23.
Lehner, L. A., Burgess, J. F., & Stefos, T. (1995). Hospital staffing adjustments under global budgeting. Hospital & Health Services Administration, 40(4), 509-23.
Lehner LA, Burgess JF, Stefos T. Hospital Staffing Adjustments Under Global Budgeting. Hosp Health Serv Adm. 1995;40(4):509-23. PubMed PMID: 10153372.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hospital staffing adjustments under global budgeting. AU - Lehner,L A, AU - Burgess,J F,Jr AU - Stefos,T, PY - 1995/1/1/pubmed PY - 2001/3/28/medline PY - 1995/1/1/entrez SP - 509 EP - 23 JF - Hospital & health services administration JO - Hosp Health Serv Adm VL - 40 IS - 4 N2 - The 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. SN - 8750-3735 UR - https://www.unboundmedicine.com/medline/citation/10153372/Hospital_staffing_adjustments_under_global_budgeting_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=10153372.ui DB - PRIME DP - Unbound Medicine ER -