From: Determinants of financial performance of home-visit nursing agencies in Japan
Profitable | Unprofitable | |
---|---|---|
Variables B) | Odds ratio (95% Confidence Interval) | |
A. Operating structure | ||
Owned by a hospital | 1.06 (0.78–1.44) | 1.83 (1.25–2.68)** |
B. Management by a nurse manager | ||
Years of experience of nurse manager (≥6 years) | 1.18 (0.89–1.58) | 0.75 (0.52–1.09) |
Number of home visits per month by the nurse manager (≥50 times per month) | 1.20 (0.90–1.59) | 0.45 (0.31–0.66)*** |
Experience of nurse manager in management training (Having) | 0.96 (0.71–1.31) | 0.86 (0.59–1.25) |
Nurse manager’s capability with financial management (Having) | 1.14 (0.85–1.51) | 0.79 (0.55–1.14) |
C. Employment | ||
Number of nursing staff (converted to full-time staff) (≥5) | 1.65 (1.16–2.34)** | 0.70 (0.43–1.14) |
Number of rehabilitation staff (converted to full-time staff) (≥1)a | 1.16 (0.62–2.18) | 0.34 (0.14–0.84)* |
Ratio of nursing staff within total staff (≥75%)b | 0.85 (0.59–1.21) | 1.09 (0.69–1.72) |
Ratio of rehabilitation staff within total staff (≥10%)b | 1.12 (0.63–1.99) | 0.25 (0.11–0.58)** |
Ratio of full-time staff (≥75%)c | 0.84 (0.63–1.12) | 1.08 (0.75–1.55) |
D. Patient utilization | ||
Total number of patients (≥70) | 1.94 (1.33–2.83)*** | 0.52 (0.29–0.92)* |
Number of patients per nursing staff (≥70) | 1.18 (0.85–1.66) | 0.79 (0.51–1.24) |
Percentage of new patients (≥7%)d | 1.31 (0.97–1.77) | 1.07 (0.73–1.56) |
Percentage of bedridden patients (≥30%)e | 1.00 (0.76–1.33) | 0.84 (0.59–1.20) |
Percentage of home deaths among terminal patients (≥65%)f | 1.11 (0.83–1.49) | 0.61 (0.41–0.89)* |
E. Quality control (during the last year) | ||
Conducting regularly of care monitoring among staff | 1.37 (1.03–1.82)* | 1.10 (0.76–1.59) |
Conducting regularly of control of staff objectives by nurse manager | 1.81 (1.36–2.42)*** | 1.10 (0.76–1.61) |
F. Regional cooperation (during the last year) | ||
Number of hospitals with cooperation in the community (≥20) | 1.11 (0.80–1.55) | 0.62 (0.39–0.97)* |
Activities for regional contribution: Required to serve as instructors at external lectures | 1.40 (1.02–1.93)* | 1.37 (0.89–2.11) |
Activities for regional contribution: Participation in meetings of local home-care related committees | 1.27 (0.93–1.74) | 1.12 (0.74–1.71) |
Activities for regional contribution: Received consultations from other health professionals | 0.87 (0.65–1.17) | 0.83 (0.58–1.20) |
G. Financial condition | ||
Proportion of expenditures going toward compensation (≥75%) | 1.11 (0.83–1.48) | 3.83 (2.47–5.94)*** |
Compensation of full-time nursing staff (≥4,500,000 yen per year) | 1.01 (0.75–1.37) | 1.05 (0.71–1.56) |