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劳动力参与在姑息治疗轨迹中的转变。

Transitions in Labour Force Participation over the Palliative Care Trajectory.

机构信息

Adjunct Professor, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.

Clinician Scientist, Temmy Latner Centre for Palliative Care, Lunenfeld Tanenbaum Research Institute, Sinai Health System, Toronto, ON.

出版信息

Healthc Policy. 2020 Nov;16(2):25-40. doi: 10.12927/hcpol.2020.26355.

DOI:10.12927/hcpol.2020.26355
PMID:33337312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7710958/
Abstract

BACKGROUND

Home-based palliative programs rely on family caregivers, who often miss time from employment. This article identified changes in caregivers' labour force participation over the palliative trajectory.

METHODS

Family caregivers (n = 262) were interviewed biweekly to measure transitions across four employment categories.

RESULTS

More than half of the caregivers had one employment transition and 29% had three or more. The highest proportion of transitions occurred for caregivers who were employed part-time.

INTERPRETATION

Understanding these transitions is critical to the development of strategies tailored to caregivers to contain labour force losses and to support caregivers during a time of high caregiving demands.

摘要

背景

家庭姑息治疗项目依赖于家庭护理人员,他们往往会因工作而请假。本文旨在确定姑息治疗过程中护理人员劳动力参与的变化情况。

方法

对 262 名家庭护理人员进行了每两周一次的访谈,以衡量他们在四个就业类别中的变化情况。

结果

超过一半的护理人员有一次就业转变,29%的护理人员有三次或更多次转变。转变比例最高的是兼职就业的护理人员。

解释

了解这些转变对制定针对护理人员的策略至关重要,这些策略旨在减少劳动力流失,并在高护理需求期间为护理人员提供支持。

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本文引用的文献

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Patient and caregiver characteristics associated with caregiver burden in Parkinson's disease: a palliative care approach.帕金森病中与照料者负担相关的患者及照料者特征:一种姑息治疗方法
Ann Palliat Med. 2020 Feb;9(Suppl 1):S24-S33. doi: 10.21037/apm.2019.10.01. Epub 2019 Nov 14.
2
Care for Carers: an Investigation on Family Caregivers' Needs, Tasks, and Experiences.关爱照顾者:对家庭照顾者的需求、任务及经历的调查
Transl Med UniSa. 2019 Jan 6;19:54-59. eCollection 2019 Jan-Jun.
3
Perspectives of patients, family caregivers and health professionals on the use of outcome measures in palliative care and lessons for implementation: a multi-method qualitative study.患者、家庭护理人员和卫生专业人员对姑息治疗中结局指标使用的看法及实施经验:一项多方法定性研究
Ann Palliat Med. 2018 Oct;7(Suppl 3):S137-S150. doi: 10.21037/apm.2018.09.02.
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A Review of the Essential Components of Quality Palliative Care in the Home.居家姑息治疗质量的基本要素述评。
J Palliat Med. 2018 Jan;21(S1):S37-S44. doi: 10.1089/jpm.2017.0392.
5
Socioeconomic Differences in and Predictors of Home-Based Palliative Care Health Service Use in Ontario, Canada.加拿大安大略省居家姑息治疗健康服务使用情况的社会经济差异及预测因素
Int J Environ Res Public Health. 2017 Jul 18;14(7):802. doi: 10.3390/ijerph14070802.
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Reconciling Work and Caregiving Responsibilities among Older Workers in New Zealand.新西兰老年劳动者工作与照料责任的协调
J Cross Cult Gerontol. 2017 Sep;32(3):323-337. doi: 10.1007/s10823-017-9327-3.
7
The contributions of family care-givers at end of life: A national post-bereavement census survey of cancer carers' hours of care and expenditures.临终时家庭照顾者的贡献:一项关于癌症照顾者护理时长和支出的全国丧亲后普查调查。
Palliat Med. 2017 Apr;31(4):346-355. doi: 10.1177/0269216317690479. Epub 2017 Feb 1.
8
The Association Between Informal Caregiving and Exit From Employment Among Older Workers: Prospective Findings From the UK Household Longitudinal Study.老年人非正式护理与离职之间的关联:来自英国家庭纵向研究的前瞻性发现。
J Gerontol B Psychol Sci Soc Sci. 2018 Sep 20;73(7):1253-1262. doi: 10.1093/geronb/gbw156.
9
Employment implications of informal cancer caregiving.非正式癌症照护的就业影响。
J Cancer Surviv. 2017 Feb;11(1):48-57. doi: 10.1007/s11764-016-0560-5. Epub 2016 Jul 16.
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Work Impact and Emotional Stress Among Informal Caregivers for Older Adults.老年人非正式照料者的工作影响与情绪压力
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