title: House staff supervision and working hours. Implications of regulatory change in New York State.
abstract: In July 1989, New York State adopted new rules that limit the hours worked by residents and mandate continuous, on-site supervision of junior residents. In addition, all New York hospitals must provide 24-hour coverage for intravenous, phlebotomy, and messenger/transporter services. This article examines the impact of New York's landmark changes on hospital staffing, graduate medical education, the demand for ancillary personnel, and hospital expenditures. Based on a statewide survey, the results indicate that implementation of these rules would require hospitals to hire an additional 5358 full-time equivalent personnel at a yearly cost that would exceed $358 million. The broader implications of these rules on financing graduate training are also explored.
authors.affiliation: Department of Health Policy and Management, Harvard University School of Public Health, Boston, Mass. 02115.
authors.forename: K E
authors.initials: KE
authors.lastname: Thorpe
mesh_terms: D000720:Ancillary Services, Hospital / Q000191:economics; D004636:Emergency Service, Hospital / Q000191:economics; D006784:Hospitals, Teaching / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D007396:Internship and Residency / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D009518:New York; D010561:Personnel Staffing and Scheduling; D011787:Quality of Health Care; D014937:Work; D014940:Work Schedule Tolerance; D000078329:Workforce