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Health Care Professional Staffing, Hospital Characteristics, and Hospital Mortality Rates
Author(s) -
Bond C. A.,
Raehl Cynthia L.,
Pitterle Michael E.,
Franke Todd
Publication year - 1999
Publication title -
pharmacotherapy: the journal of human pharmacology and drug therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.227
H-Index - 109
eISSN - 1875-9114
pISSN - 0277-0008
DOI - 10.1592/phco.19.3.130.30915
Subject(s) - staffing , medicine , health care , mortality rate , logistic regression , multivariate analysis , family medicine , emergency medicine , nursing , economics , economic growth
To evaluate associations among hospital characteristics, staffing levels of health care professionals, and mortality rates in 3763 United States hospitals, a data base was constructed from the American Hospital Association's Abridged Guide to the Health Care Field and hospital Medicare mortality rates from the Health Care Financing Administration. A multivariate regression analysis controlling for severity of illness was employed to determine the associations. Hospital characteristics associated with lower mortality were occupancy rate and private nonprofit and private for‐profit ownership. Mortality rates decreased as staffing level per occupied bed increased for medical residents, registered nurses, registered pharmacists, medical technologists, and total hospital personnel. Mortality rates increased as staffing level per occupied bed increased for hospital administrators and licensed practical‐vocational nurses. To our knowledge, this is the first study to show that pharmacists were associated with lower mortality rates.