Nursing Homes Increasingly Rely On Staffing Agencies For Direct Care Nursing.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Health Affairs Pub Date : 2024-03-01 Epub Date: 2024-02-14 DOI:10.1377/hlthaff.2023.01101
John R Bowblis, Christopher S Brunt, Huiwen Xu, Robert Applebaum, David C Grabowski
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Abstract

When nursing homes experience a shortage in directly employed nursing staff, they may rely on temporary workers from staffing agencies to fill this gap. This article examines trends in the use of staffing agencies among nursing homes during the prepandemic and COVID-19 pandemic era (2018-22). In 2018, 23 percent of nursing homes used agency nursing staff, accounting for about 3 percent of all direct care nursing hours worked. When used, agency staff were commonly present for ninety or fewer days in a year. By 2022, almost half of all nursing homes used agency staff, accounting for 11 percent of all direct care nursing staff hours. Agency staff were increasingly used to address chronic staffing shortages, with 13.8 percent of nursing homes having agency staff present every day. Agency staff were 50-60 percent more expensive per hour than directly employed nursing staff, and nursing homes that used agency staff often had lower five-star ratings. Policy makers need to consider postpandemic changes to the nursing home workforce as part of nursing home reform, as increased reliance on agency staff may reduce the financial resources available to increase nursing staff levels and improve the quality of care.

养老院越来越多地依赖人事代理机构提供直接护理服务。
当养老院遇到直接聘用的护理人员短缺时,他们可能会依靠人事代理机构的临时工来填补这一空缺。本文研究了大流行前和 COVID-19 大流行期间(2018-22)养老院使用人事代理机构的趋势。2018 年,23% 的疗养院使用了代理护理人员,约占所有直接护理工时的 3%。在使用代理人员时,代理人员通常在一年中工作九十天或更少。到 2022 年,几乎有一半的养老院使用机构护理人员,占所有直接护理人员工时的 11%。机构员工越来越多地用于解决长期的人员短缺问题,13.8% 的养老院每天都有机构员工在岗。与直接聘用的护理人员相比,机构员工每小时的成本要高出 50%-60%,而且使用机构员工的养老院的五星评级往往较低。作为疗养院改革的一部分,政策制定者需要考虑对疗养院员工队伍进行后阶段性改革,因为增加对机构员工的依赖可能会减少可用于提高护理人员水平和改善护理质量的财政资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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