University of California, San Francisco, CA, USA.
Med Care Res Rev. 2021 Oct;78(5):607-615. doi: 10.1177/1077558720930131. Epub 2020 Jun 20.
Over 1.5 million new jobs need to be filled by 2026 for medical assistants, nursing aides, and home care aides, many of which will work in the long-term services and supports (LTSS) sector. Using 16 years of data from the American Time Use Survey, we examined the financial vulnerability of high-skill and low-skill LTSS workers in comparison with other health care workers, while providing insight into their well-being by measuring time spent on work and nonwork activities. We found that, regardless of skill status, working in LTSS was associated with lower wages and an increased likelihood of experiencing poverty compared with other health care workers. Results from time diary data indicated that the LTSS workforce spent a greater share of their time working and commuting to work. Low-skill LTSS workers were hardest hit, spending more time on paid and unpaid activities, such as household and child care responsibilities.
到 2026 年，医疗助理、护理助手和家庭保健助手等职业需要新增 150 多万个岗位，其中许多将在长期服务和支持（LTSS）领域工作。我们利用美国时间使用调查 16 年的数据，比较了高技能和低技能 LTSS 工作者与其他医疗保健工作者的经济脆弱性，同时通过衡量工作和非工作活动的时间来了解他们的幸福感。我们发现，无论技能水平如何，与其他医疗保健工作者相比，在 LTSS 工作与工资较低和贫困可能性增加有关。时间记录数据的结果表明，LTSS 劳动力在工作和通勤上花费了更多的时间。低技能的 LTSS 工人受到的打击最大，他们在有偿和无偿活动上花费了更多时间，如家务和照顾孩子的责任。
