Table 2

Determinants of financial performance in home-visit nursing agencies: results of multinominal logistic regression analysisA)
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)

R2=0.26, Adjusted R2=0.30.

AWe examined the association of “profitable” and “unprofitable” agencies, with the “stable” agencies as a reference.

BIndependent variables were used with p values less than 0.10 by the univariate analysis, and numarical variables were divided into two by the average.

***:P<.001, **:P<.01, *:P<.05.

a:Total number of physiotherapists, occupational therapists and speech therapists.

b:Number of nursing care staff or rehabilitation staff converted to full-time staff/number of staff converted to full-time staff.

c:Number of full-time staff/number of staff converted to full-time staff.

d:Ratio (%) calculated using the total number of patients as the denominator during the 1-month study period (September 2012).

e:Ratio of independence in daily life C calculated using the total of J (independence), A (independence in a room), B (independence on the floor) and C (bedridden) as the denominator.

f:Number of patients died at home/number of patients who died after receiving terminal care during 6 months from April to September 2012.

Fukui et al.

Fukui et al. BMC Health Services Research 2014 14:11   doi:10.1186/1472-6963-14-11

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