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加拿大护士劳动力市场效力的批判性分析:短缺的隐藏方面。

Critical analysis of nurses' labour market effectiveness in Canada: The hidden aspects of the shortage.

机构信息

Industrial Relations, Université Laval and Université du Québec en Outaouais (UQO), Gatineau, Canada.

出版信息

Int J Health Plann Manage. 2019 Oct;34(4):1144-1154. doi: 10.1002/hpm.2772. Epub 2019 Apr 4.

Abstract

This article proposes a critical analysis of the effectiveness of the nurses' labour market by addressing the classic dimensions of a labour market: supply, demand, and the impact of wages. Specifically, this work aims to (1) clarify the various concepts of labour shortage and present the evidence and (2) provide a critical analysis of the literature in terms of the efficiency of the nurses' labour market, while presenting descriptive statistics relevant on the supply and demand of nurses' labour. Such work elucidating the concepts and bringing a critical retrospective and prospective analysis on the subject at the pan-Canadian level constitutes an important contribution to the literature on the trends in the nursing labour market. The results suggest that this shortage in Canada was around 2.6% in 2012; it would continue until 2022 but would be reduced to 1.3% on average (corresponding to more than 46 000 nurses). Quebec would be the province with the highest vacancy rate. Besides, the analysis suggests that the postrecession period of 2008 was managed more effectively than that in the early 1990s. Measures particularly related to the provision of health services and adequate management of the workload by the institutions are to be prioritized in order to solve the shortage problem.

摘要

本文通过探讨劳动力市场的经典维度(即供给、需求以及工资的影响),对护士劳动力市场的有效性进行了批判性分析。具体而言,这项工作旨在:(1) 阐明劳动力短缺的各种概念,并呈现相关证据;(2) 对护士劳动力市场效率的文献进行批判性分析,同时提供有关护士劳动力供给和需求的描述性统计数据。在加拿大范围内对该主题进行概念澄清和批判性回顾与前瞻性分析,是对护理劳动力市场趋势文献的重要贡献。结果表明,加拿大在 2012 年的护士短缺率约为 2.6%;这种短缺将持续到 2022 年,但平均而言(相当于超过 46,000 名护士)将减少到 1.3%。魁北克省将是职位空缺率最高的省份。此外,分析表明,2008 年经济衰退后的时期比 20 世纪 90 年代初管理得更有效。为了解决短缺问题,应优先采取与提供卫生服务和医疗机构合理管理工作量有关的措施。

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