EVALUATION OF PATIENT AND STAFF OUTCOMES WITH HOSPITAL-BASED MANAGED CARE.
Contributors: University of Iowa.
Published: 1993
Number of pages: 259
Subjects: Health Sciences, Nursing.; Health Sciences, Health Care Management.
Description: The purpose of this research was to evaluate patient and staff outcomes with a Hospital Based Managed Care (HBMC) intervention. A CareMap$\sp\□rm TM □$and Nursing Case Management were implemented and the effects on patient satisfaction, staff collaboration, staff autonomy, and staff satisfaction were determined. The patient population selected for participation in the investigation were women on the Family Centered Maternal Child unit who had a cesarean birth. The staff selected for participation in the study consisted of staff who worked on two units; the post partum Family Centered Maternal Child unit where the intervention took place (experimental unit) and staff who worked on C-44, an obstetric and gynecology unit (control unit).

The results support the use of the Hospital Based Managed Care system of delivery of care. Patients were more satisfied with their care under the new delivery system (t = 1.98, p =.02) and they were particularly more satisfied with their participation in decisions (t = 2.28, p =.01). In addition, the multidisciplinary staff who worked on the experimental unit had increased job satisfaction as they worked in the HBMC system of care delivery (F = 3.46, p =.03). Nurses who applied and were selected for Case Management positions had higher levels of collaboration (F = 14.95, p =.001) than other nurses, higher levels of job satisfaction with quality of care (F = 6.39, p =.02) than other nurses, and their autonomy increased as they worked within the HBMC delivery system (F = 3.66, p =.03). Multidisciplinary Team members also had higher levels of collaboration (F = 8.36, p =.006) than other multidisciplinary staff on the experimental unit and their job satisfaction with the quality of care they delivered increased under this new care delivery system (F = 3.08, p =.05). Results of this study indicate that Hospital Based Managed Care is a model of delivery of care that can improve quality of patient care and the job satisfaction of staff who provide care under this delivery model.
Notes: Source: Dissertation Abstracts International, Volume: 55-04, Section: B, page: 1377.

Thesis (PH.D.)--THE UNIVERSITY OF IOWA, 1993.

School code: 0096.