The Association between Organizational Market Factors and Agency Labor Utilization in U.S. Hospitals-Reference-Cited by-同舟云学术

The Association between Organizational Market Factors and Agency Labor Utilization in U.S. Hospitals

Published:2024-08-27 Issue:9 Volume:14 Page:192
ISSN:2076-3387
Container-title:Administrative Sciences
language:en
Short-container-title:Administrative Sciences

Author:

Beauvais Brad¹^ORCID,Pradhan Rohit¹^ORCID,Dolezel Diane²,Shanmugam Ramalingam¹^ORCID,Wood Dan³^ORCID,Ramamonjiarivelo Zo¹^ORCID

Affiliation:

1. School of Health Administration, Texas State University, San Marcos, TX 78666, USA

2. Health Informatics & Information Management Department, Texas State University, Round Rock, TX 78665, USA

3. Baylor University, U.S. Army Medical Center of Excellence, San Antonio, TX 78234, USA

Abstract

Objectives: To address urgent staffing shortages, hospitals increasingly rely on agency labor. Given that staffing can significantly impact hospital performance, the aim of this study was to understand the organizational and market factors associated with agency labor utilization in US hospitals. Methods: Utilizing concepts from the Resource Dependence Theory (RDT), data for the calendar year 2022 for short-term acute care in United States hospitals (n = 2756) were analyzed with logistic regression analysis. We explored total agency labor expense (operationalized as a dichotomous variable at the 75th and 90th percentiles) in the presence of numerous organizational and market independent variables. Results: The results revealed that as markets become less complex (as measured by market concentration), the level of agency labor expense increases (β: 0.843, p < 0.001), while our chosen variables related to munificence (rural location; β: −1.634, p < 0.001) and dynamism (Medicare payor mix; β: −0.025, p < 0.001) were negatively associated with an increase in total agency labor expense. Conclusions: In general, our results appear to support the tenets of the RDT. We find that increased use of agency labor in hospitals is predicated on the hospital having the financial resources and flexibility to be able to afford the higher cost of agency labor.

Publisher

MDPI AG

Link

https://www.mdpi.com/2076-3387/14/9/192/pdf

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