Downsizing within a hospital: Cutting care or just costs?

Social Science and Medicine

Volumn 57, Issue 9, 2003, Pages 1539-1546

  Brown, Claire ^a   Arnetz, Bengt ^b   Petersson, Ove ^c  

^a Section for Social Medicine   (Sweden)

^b UPPSALA UNIVERSITY   (Sweden)

^c ÖREBRO UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Downsizing; Hospitals; Quality of care; Sweden; Work environment

Indexed keywords

HEALTH CARE; HOSPITAL SECTOR; WORKING CONDITIONS;

ARTICLE; CONTROLLED STUDY; ENERGY; FEMALE; HEALTH CARE COST; HEALTH CARE QUALITY; HOSPITAL MANAGEMENT; HOSPITAL PERSONNEL; HUMAN; LONGITUDINAL STUDY; MALE; MENTAL PERFORMANCE; OCCUPATIONAL HEALTH; PERCEPTION; SWEDEN; WORK ENVIRONMENT; WORKLOAD;

SWEDEN;

EID: 0041423533     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0277-9536(02)00556-7     Document Type: Article

References (35)

1. Aiken L.H., Fagin C.M. Evaluating the consequences of hospital restrucutring. Medical Care. 35(10):1997;OS1-OS4.
2. Aiken L.H., Smith H.L., Lake E.T. Lower medicare mortality among a set of hospitals known for good nursing care. Medical Care. 32(8):1994;771-787.
3. Arnetz B. Techno-stress. A prospective psychophysiological study of the impact of a controlled stress-reduction program in advanced telecommunication systems design work Journal of Occupational and Environmental Medicine. 38(1):1996;553-565.
4. Arnetz B. Staff perception of the impact of health care transformation on quality of care. International Journal for Quality in Health Care. 11(4):1999;345-351.
5. Arnetz B.B. Psychosocial challenges facing physicians of today. Social Science & Medicine. 52:2001;203-213.
6. Arnetz J.E., Arnetz B.B. The development and application of a patient satisfaction measurement system for hospital-wide quality improvement. International Journal for Quality in Health Care. 8(6):1996;555-566.
7. Atkins, P. M., Marshall, B. S., & Tavalgi, R. G. (1996). Happy employees lead to loyal patients. Journal of Health Care Marketing, 15-23.
8. Berlowitz D.R., Young J.Y., Brandeis G.H., Kader B., Anderson J.J. Health care reorganization and quality of care. Unintended effects on pressure ulcer prevention Medical Care. 39(2):2001;138-146.
9. Blythe J., Baumann A., Giovannetti P. Nurses' experiences of restructuring in three Ontario hospitals. Journal of Nursing Scholarship. 33(1):2001;61-68.
10. Brown S., Lumley J. Are cuts to health care expenditure in Victoria compromising quality of care? Australian and New Zealand Journal of Public Health. 22(2):1998;279-281.
11. Campbell S., Roland M., Wilkin D. Improving the quality of care through clinical governance. British Medical Journal. 322:2001;1580-1582.
12. Carey K., Burgess J.F. On measuring the hospital cost/quality trade-off. Health Economics. 8:1999;509-520.
13. Donabedian A. Evaluating the quality of medical care. Millbank Memorial Fund Quarterly. XLIV(3):1966;166-203.
14. Donabedian A. The quality of care. How can it be assessed? Journal of the American Medical Association. 260(12):1988;1743-1748.
15. Donabedian A. Institutional and professional responsibilities in quality assurance. Quality Assurance in Health Care. 1(1):1989;3-11.
16. Firth-Cozens J., Greenhalgh J. Doctors' perceptions of the links between stress and lowered clinical care. Social Science & Medicine. 44(7):1997;1017-1022.
17. Goodell T.T., Coeling H.V. Outcomes of nurses' job satisfaction. Journal of Nursing Administration. 24(11):1994;36-41.
18. Jakobsson L., Hallberg I.R., Lovén L., Ottosson B. Patient satisfaction with nursing care, evaluation before and after cutback in expenditure and intervention at a surgical clinic. International Journal for Quality in Health Care. 6(4):1994;361-369.
19. Kovner C., Gergen P.J. Nurse staffing levels and adverse advents following surgery in US hospitals. Image: Journal of Nursing Scholarship. 30(4):1998;315-321.
20. Leatt P., Baker G.R., Halverson P.K., Aird C. Downsizing, reengineering, and restructuring. Long-term implications for healthcare organizations Frontiers of Health Services Management. 13(4):1997;3-54.
21. Lewis E.M., Nitta D.E., Biczi T., Robinson M.A. Downsizing. Measuring its effects on quality of care Journal of Nursing Quality Assurance. 1(1):1986;17-25.
22. Malloch K. Healing models for organizations. Description, measurement, and outcomes Journal of Healthcare Management. 45(5):2000;332-345.
23. Mitchell P.H., Shortell S.M. Adverse outcomes and variations in organization of care delivery. Medical Care. 35(Suppl. 11):1997;NS19-NS32.
24. Morey R.C., Fine D.J., Loree S.W., Retzlaff-Roberts D.L., Tsubakitani S. The trade-off between hospital cost and quality of care. Medical Care. 30(8):1992;677-698.
25. Needleman J., Buerhaus P., Mattke S., Stewart M., Zelevinsky K. Nurse-staffing levels and the quality of care in hospitals. The New England Journal of Medicine. 346(22):2002;1715-1722.
26. Ottosson B., Hallberg I.R., Axelsson K., Lovén L. Patients' satisfaction with surgical care impaired by cuts in expenditure and after interventions to improve nursing care at a surgical clinic. International Journal for Quality in Health Care. 9(1):1997;43-53.
27. Press I., Ganey R.F., Malone M.P. Satisfied patients can spell financial well-being. Healthcare Financial Management. 45(2):1991;34-42.
28. Robertson R., Dowd S.B. The effects of hospital downsizing on staffing and quality of care. Health Care Supervisor. 14(3):1996;50-56.
29. Rubin H.R. Can patients evaluate the quality of hospital care? Medical Care Review. 47(3):1990;267-326.
30. Shortell S.M., Hughes E.F. The effects of regulation, competition, and ownership on mortality rates among hospital inpatients. The New England Journal of Medicine. 318:1988;1100-1107.
31. Thomas J.W., Hofer T.P. Accuracy of risk-adjusted mortality rate as a measure of hospital quality of care. Medical Care. 37(1):1999;83-92.
32. Thomsen S. An examination of non-response in a work environment questionnaire mailed to psychiatric health care personnel. Journal of Occupational Health Psychology. 5(1):2000;204-210.
33. Thomsen, S., Arnetz, J., & Arnetz, B. (2000). Patient and personnel perspectives in intervention studies of the health care work environment. In: Wickström (Ed.), Intervention studies in the health care work environment. Arbete och Hälsa, 10, 36-48.
34. Vuori H. Patient satisfaction - an attribute or indicator of the quality of care? Quality Review Bulletin. 1987;106-108.
35. West E. Management matters. The link between hospital organisation and quality of patient care Quality in Health Care. 10:2001;40-48.