农村化如何影响养老院社会服务部门的人员配备？
How Does Rurality Influence the Staffing of Social Service Departments in Nursing Homes?
机构信息
Department of Family Science and Social Work and Scripps Gerontology Center, Oxford, Ohio.
Department of Economics and Scripps Gerontology Center, Miami University, Oxford, Ohio.
出版信息
Gerontologist. 2018 May 8;58(3):540-545. doi: 10.1093/geront/gnw208.
PURPOSE OF THE STUDY
Social service departments in nursing homes (NHs) are staffed by qualified social workers (QSWs) and paraprofessionals. Due to greater workforce challenges in rural areas, this article aims to describe the staffing levels and composition of these departments by rurality.
DESIGN AND METHODS
Certification and Survey Provider Enhanced Reports data from 2009 to 2015 are used to examine the effect of rurality on social service staffing using random-effects linear panel regressions.
RESULTS
The average NH employed 1.8 full-time equivalents (FTEs), with approximately two thirds of social services staffed by QSWs. Large NHs had more staff, but employed fewer staff hours per resident day. Staffing levels were lower and QSWs made up a smaller percentage of staff in rural areas.
IMPLICATIONS
National trends indicate variability in staffing by NH size and degree of rurality. Very low staffing within rural NHs is a concern, as staff may have less time to respond to residents' needs and these NHs may utilize fewer QSWs.
研究目的
养老院（NH）的社会服务部门由合格的社会工作者（QSW）和准专业人员组成。由于农村地区的劳动力挑战更大，本文旨在描述这些部门的人员配备水平和构成的农村性。
设计和方法
使用 2009 年至 2015 年的认证和调查提供商增强报告数据，使用随机效应线性面板回归来检验农村性对社会服务人员配备的影响。
结果
平均 NH 雇用了 1.8 个全职等效人员（FTE），其中大约三分之二的社会服务人员由 QSW 组成。大型 NH 拥有更多的员工，但每位居民每天的员工工作时间更少。农村地区的人员配备水平较低，QSW 人员在员工中所占比例也较小。
影响
全国趋势表明 NH 规模和农村程度的人员配备存在差异。农村 NH 极低的人员配备令人担忧，因为员工可能没有更多时间来满足居民的需求，而且这些 NH 可能使用更少的 QSW。
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