Measuring and evaluating hospital restructuring efforts. Eighteen-month follow-up and extension to critical care, Part 1
| Autor: | Mary T. Kinneman, Mary Agnes Fox, Mark J. Young, Fuss Ma, Yvonne E. Bryan, Kim S. Hitchings |
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| Rok vydání: | 1998 |
| Předmět: |
Program evaluation
medicine.medical_specialty Critical Care Quality Assurance Health Care Leadership and Management Restructuring media_common.quotation_subject Nursing Staff Hospital Job Satisfaction Patient satisfaction Nursing Acute care Health care Medicine Humans Quality (business) Hospital Mortality media_common Quality of Health Care business.industry General Medicine Length of Stay Pennsylvania Evaluation Studies as Topic Patient Satisfaction Hospital Restructuring Job satisfaction business Quality assurance Hospital Units |
| Zdroj: | The Journal of nursing administration. 28(9) |
| ISSN: | 0002-0443 |
| Popis: | Increasingly, hospital restructuring is viewed with skepticism because of a lack of systematic and rigorous evaluation of its impact on quality of care. This first article in a two-part series describes comprehensive evaluation of the effects of hospital restructuring on patient satisfaction, nurse satisfaction, costs of care, and clinical quality on four medical-surgical units at a large tertiary hospital. In addition, early application of the model to critical care is described. A quasiexperimental pre- and post-design combined with concurrent control units for selected measures was the overall strategy. The authors conclude that comprehensive restructuring of hospital-based care can take place in a manner that preserves multiple dimensions of quality while decreasing costs. This only can be ascertained, however, through rigorous and systematic measurement and evaluation. Part 2 will detail application and evaluation of the restructuring model in the critical care environment. |
| Databáze: | OpenAIRE |
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