*Address correspondence to Melissa A. Simon, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine; 633 N. St. Clair, Suite 1800, Chicago, IL 60611. E-mail:
Gerontologist. 2013 Oct;53(5):861-73. doi: 10.1093/geront/gnt033. Epub 2013 Apr 30.
Rising costs and a workforce talent shortage are two of the health care industry's most pressing challenges. In particular, serious illnesses often impose significant costs on individuals and their families, which can place families at an increased risk for multigenerational economic deprivation or even an illness-poverty trap. At the same time, family caregivers often acquire a wide variety of health care skills that neither these caregivers nor the health care industry typically use. As these skills are marketable and could be paired with many existing medical certifications, this article describes a possible "path toward economic resilience" (PER) through a program whereby family caregivers could find meaningful employment using their new skills. The proposed program would identify ideal program candidates, assess and supplement their competencies, and connect them to the health care industry. We provide a set of practical steps and recommended tools for implementation, discuss pilot data on the program's appeal and feasibility, and raise several considerations for program development and future research. Our analysis suggests that this PER program could appeal to family caregivers and the health care industry alike, possibly helping to address two of our health care system's most pressing challenges with one solution.
成本上升和劳动力人才短缺是医疗保健行业面临的两大最紧迫挑战。特别是,重大疾病通常会给个人及其家庭带来巨大的经济负担,这可能使家庭面临多代经济贫困甚至疾病贫困陷阱的风险增加。与此同时,家庭护理人员通常会掌握各种医疗技能,但这些护理人员和医疗保健行业通常都不会使用这些技能。由于这些技能具有市场价值,并且可以与许多现有的医疗认证相结合,因此本文通过一个项目描述了一种实现经济韧性的“可能途径”(PER),通过该项目,家庭护理人员可以利用他们的新技能找到有意义的工作。拟议的计划将确定理想的计划候选人,评估和补充他们的能力,并将他们与医疗保健行业联系起来。我们提供了一系列实施的实际步骤和建议工具,讨论了该计划吸引力和可行性的试点数据,并提出了计划制定和未来研究的几个考虑因素。我们的分析表明,这种 PER 计划可能会同时吸引家庭护理人员和医疗保健行业,也许有助于用一个解决方案来解决我们医疗保健系统面临的两个最紧迫的挑战。