Richardson Indira, Slifkin Rebecca, Randolph Randy, Holmes George M
North Carolina Rural Health Research Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, NC 27599, USA.
J Allied Health. 2010 Fall;39(3):e91-6.
Nationwide, demand for allied health services is projected to grow significantly in the next several decades, and there is evidence that allied health shortages already exist in many states. Given the longstanding history of health professional shortages in rural areas, the existing and impending shortages in allied health professions may be particularly acute in these areas. To assess whether rural areas are potentially at a recruiting disadvantage because of relative wages, this report uses data from the Bureau of Labor Statistics to describe the extent to which rural-urban differentials exist in wages for eight allied health professions, focusing on professions that are both likely to be found in rural communities and have adequate data to support hourly wage estimates. Overall the data show that the national average wage of each of the eight allied health professions is higher in metropolitan than nonmetropolitan areas. On average, the unadjusted rural hourly wage is 10.3% less than the urban wage, although the extent of the difference varies by profession and by geographic area. Adjustment for the cost of living narrows the discrepancy, but does not eliminate it. It is likely that rural providers in areas with the greatest wage discrepancies find it more difficult to recruit allied health professionals, but the extent to which this is the case needs to be assessed through further research with data on workforce vacancy rates.
在全国范围内,预计在未来几十年对专职医疗服务的需求将大幅增长,并且有证据表明许多州已经存在专职医疗人员短缺的情况。鉴于农村地区长期存在卫生专业人员短缺的历史,专职医疗行业现有的和即将出现的短缺情况在这些地区可能尤为严重。为了评估农村地区是否由于相对工资而在招聘方面可能处于劣势,本报告使用了劳工统计局的数据来描述八个专职医疗行业的工资在城乡之间的差异程度,重点关注那些可能在农村社区出现且有足够数据支持小时工资估计的行业。总体而言,数据显示这八个专职医疗行业的全国平均工资在大都市地区高于非大都市地区。平均而言,未经调整的农村小时工资比城市工资低10.3%,尽管差异程度因行业和地理区域而异。对生活成本进行调整会缩小差距,但并不能消除差距。工资差异最大地区的农村医疗服务提供者可能会发现招聘专职医疗专业人员更加困难,但这种情况的严重程度需要通过对劳动力空缺率数据的进一步研究来评估。