Hospital Staffing Decisions: Does Financial Performance Matter?

This study assesses the impact of changes in hospitals' financial conditions on changes in hospitals' staffing decisions. The sample consisted of community hospitals operating between 1995 and 2000. The analysis employed a generalized method of moments (GMM) estimator for its dynamic panel...

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Main Authors: Mei Zhao, Gloria J. Bazzoli, Jan P. Clement, Richard C. Lindrooth, JoAnn M. Nolin, Askar S. Chukmaitov
Format: Article
Language:English
Published: SAGE Publishing 2008-08-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.5034/inquiryjrnl_45.03.293
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author Mei Zhao
Gloria J. Bazzoli
Jan P. Clement
Richard C. Lindrooth
JoAnn M. Nolin
Askar S. Chukmaitov
author_facet Mei Zhao
Gloria J. Bazzoli
Jan P. Clement
Richard C. Lindrooth
JoAnn M. Nolin
Askar S. Chukmaitov
author_sort Mei Zhao
collection DOAJ
description This study assesses the impact of changes in hospitals' financial conditions on changes in hospitals' staffing decisions. The sample consisted of community hospitals operating between 1995 and 2000. The analysis employed a generalized method of moments (GMM) estimator for its dynamic panel data. Cash flow and patient margin were used to measure financial condition. We estimated the effect of changing financial condition on the number of full-time equivalent personnel (FTEs), registered nurses (RNs), and licensed practical nurses (LPNs) per 1,000 adjusted patient days. Our results suggest that declining financial performance led to cutbacks in LPN FTEs per adjusted patient day, but the effects on total hospital FTEs and RN FTEs were mixed.
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spelling doaj.art-93d7620d6fb84b0fb0789f8f3b197be82022-12-21T19:01:59ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95802008-08-014510.5034/inquiryjrnl_45.03.293Hospital Staffing Decisions: Does Financial Performance Matter?Mei ZhaoGloria J. BazzoliJan P. ClementRichard C. LindroothJoAnn M. NolinAskar S. ChukmaitovThis study assesses the impact of changes in hospitals' financial conditions on changes in hospitals' staffing decisions. The sample consisted of community hospitals operating between 1995 and 2000. The analysis employed a generalized method of moments (GMM) estimator for its dynamic panel data. Cash flow and patient margin were used to measure financial condition. We estimated the effect of changing financial condition on the number of full-time equivalent personnel (FTEs), registered nurses (RNs), and licensed practical nurses (LPNs) per 1,000 adjusted patient days. Our results suggest that declining financial performance led to cutbacks in LPN FTEs per adjusted patient day, but the effects on total hospital FTEs and RN FTEs were mixed.https://doi.org/10.5034/inquiryjrnl_45.03.293
spellingShingle Mei Zhao
Gloria J. Bazzoli
Jan P. Clement
Richard C. Lindrooth
JoAnn M. Nolin
Askar S. Chukmaitov
Hospital Staffing Decisions: Does Financial Performance Matter?
Inquiry: The Journal of Health Care Organization, Provision, and Financing
title Hospital Staffing Decisions: Does Financial Performance Matter?
title_full Hospital Staffing Decisions: Does Financial Performance Matter?
title_fullStr Hospital Staffing Decisions: Does Financial Performance Matter?
title_full_unstemmed Hospital Staffing Decisions: Does Financial Performance Matter?
title_short Hospital Staffing Decisions: Does Financial Performance Matter?
title_sort hospital staffing decisions does financial performance matter
url https://doi.org/10.5034/inquiryjrnl_45.03.293
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AT joannmnolin hospitalstaffingdecisionsdoesfinancialperformancematter
AT askarschukmaitov hospitalstaffingdecisionsdoesfinancialperformancematter