Labor Inputs to the Production of Hospital Services and Substitution Capabilities

Topics:
(1) Labor Inputs to the Production of Hospital Services and Substitution Capabilities
(2) Role of Hospitalists in the Provision of Inpatient Hospital Care
(3) Effect of Nurse Staffing on Quality
Lesson Objectives:
(1) To identify and describe the key labor inputs into the production of hospital
services.
(2) To describe the substitution capabilities between different types of labor inputs
into the production of hospital services as well as the substitution of labor for
capital-related inputs.
(3) To describe the hospitalist movement and the economic rationale behind using
hospitalists to provide care.
(4) To summarize the evidence pertaining to the relationship between staffing levels
and the quality of care provided within hospital settings.
Readings:
FGS 16
*Meltzer, D. and J. Chung. “U.S. Trends in Hospitalization and Generalist Physician
Workforce and the Emergence of Hospitalists.” Journal of General Internal Medicine,
10
2010, 25(5): 453-459.
*Needleman et al. “Nurse-Staffing Levels and the Quality of Care in Hospitals, New
England Journal of Medicine, 2002, 346(22): 1715-1722.
Supplemental Resources:
KaiserEDU tutorial on Nursing Labor Markets. Accessed at:
http://www.kaiseredu.org/Tutorials-and-Presentations/Nursing-Labor-Markets.aspx.
Mitchell, P. “Nurse Staffing – A Summary of Current Research, Opinion, and Policy,” The
William D. Ruckelshaus Center. Accessed at:
http://www.ruckelshauscenter.wsu.edu/projects/documents/NurseStaffingfinal.pdf

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