HONEST · The Effects of wages on patient safety outcomes
„Хоризонт 2020“ — Действия „Мария Склодовска-Кюри“
- Период
- 2022-02-01 → 2024-12-01
- Финансиране от ЕС
- 191 149 €
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- 1
- Схема
- MSCA-IF
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Накратко на български
Заплащането на лекари и медицински сестри в швейцарските болници и връзката му с нивата на смъртност на пациентите се анализират тук. Това помага да се разбере как заплатите влияят върху качеството на грижите и стабилността на медицинския персонал.
Кратко обяснение, генерирано от езиков модел по текста на CORDIS. Оригиналът е по-долу.
Резултати накратко
The Effects of wages on patient safety outcomes
Summary of the context, including the problem being addressed and why it is important for society: High-quality care in hospitals depends on skilled and stable teams of nurses and doctors. However, the world faces a serious shortage of healthcare professionals—5.9 million nurses and 4.3 million doctors are needed globally. This problem is worsened by many older workers retiring and younger professionals leaving the field due to low wages, unattractive job conditions, and limited career growth. The COVID-19 pandemic has made these issues even more pressing, straining hospital systems, disrupting care, and putting patient safety at risk. Wages play a vital role in attracting and keeping healthcare workers, making them a key factor in addressing staff shortages. In hospitals, salaries make up 62% of overall expenses, with nurses and doctors accounting for the largest share of the workforce—40% and 15%, respectively. Understanding what influences wages and how they impact patient safety is essential to create strategies for a stronger and more sustainable healthcare system. Overall objectives: This project aims to: 1) Understand what drives nurse and doctor wages in Swiss hospitals and identify the key factors influencing wage levels. 2) Examine the connection between wages and patient safety, focusing on mortality rates within 30 days of hospital admission as a key indicator. Conclusion of the action: Our research reveals that nurse wages are significantly influenced not only by their education and the wages of doctors but also by age, highlighting financial rewards for experienced nurses. While rewarding seniority can motivate experienced nurses, it may discourage younger nurses whose efforts are not equally recognised. This suggests that workplaces should also consider models that reward performance and individual skills instead of relying only on pay systems based on seniority. Such changes could help retain younger healthcare workers, attract new talent, and strengthen hospital teams to tackle staff shortages. We found a small connection between higher doctor wages and lower death rates within 30 days of hospital admission but no such connection for nurse wages. We think factors like the number of staff available might influence how wages affect patient safety, and we are looking into this further. To better understand these connections and confirm our findings, more research using detailed information about individual workers' wages—which is not currently available—is needed. This could help hospitals use their resources more wisely, improve patient safety, and benefit everyone in society.
Текст от CORDIS, на английски · Данни: CORDIS, © Европейски съюз
Цел на проекта
One relevant cost category in the healthcare system are wages. The hospital setting in Switzerland, where wages can differ widely, is attractive because it enables an examination of the impact of wages on patient safety. We would expect that once wages differ within hospitals, it will cause differences in recruitment and retention, especially of well-trained workers, as satisfactory wage is a known significant factor in job-seeking behaviour and is important in keeping hospital workers in their current positions. Lacking well-trained workers in turn should lead to worse service quality and thus to worse patient safety. Current research has shown that hospitals with well-trained nurse staffing and work environments have better nurse and patient outcomes. However, many researchers fail to account for wage effects, the neglect of which may confound findings. Objectives: To describe physician and nurse wages in Swiss hospitals and to identify their main drivers (aim 1). To assess the association between physician and nurse wage and patient safety (aim 2). To conduct a cost-effectiveness analysis and a budget impact analysis of hospitals’ investments in nurses’ and physicians’ wages. (aim 3). Methodology: I will access 2 datasets from The Swiss Federal Statistical Office: the hospital statistics (4 subsets on the hospital level) and the medical statistics (inpatient episodes in the hospital on individual level). To test my hypothesis (aim 1, 2), I will use regression analyses with the wage per full-time equivalent as dependent variable. I will adjust the results for employers’ characteristics on the hospital level and individual patient characteristics as possible confounding variables. As the dataset is large (>1.2 million cases/year), I will use also Generalized Additive Models in order to adjust for clustering. Besides regression analysis, I will perform also Bayesian analysis in order to explore uncertainty of the results estimate. All analyses will be conducted in R
Оригинален текст от CORDIS (на английски).
Участници
- UNIVERSITAT BASEL · BaselКоординаторШвейцария
Връзки
Данни: CORDIS, © Европейски съюз