澳大利亚塔斯马尼亚州健康、福利和护理劳动力回顾：2011-2016 年。

Review of the Health, Welfare and Care Workforce in Tasmania, Australia: 2011-2016.

机构信息

Centre for Rural Health, College of Health and Medicine, University of Tasmania, Locked Bag 1322, Launceston, TAS 7250, Australia.

出版信息

Int J Environ Res Public Health. 2021 Jun 30;18(13):7014. doi: 10.3390/ijerph18137014.

DOI:10.3390/ijerph18137014

PMID:34209098

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8297215/

Abstract

BACKGROUND

On a per capita basis, rural communities are underserviced by health professionals when compared to metropolitan areas of Australia. However, most studies evaluating health workforce focus on discrete professional groups rather than the collective contribution of the range of health, care and welfare workers within communities. The objective of this study was therefore to illustrate a novel approach for evaluating the broader composition of the health, welfare and care (HWC) workforce in Tasmania, Australia, and its potential to inform the delivery of healthcare services within rural communities.

METHODS

Census data (2011 and 2016) were obtained for all workers involved in health, welfare and care service provision in Tasmania and in each statistical level 4 area (SA4) of the state. Workers were grouped into seven categories: medicine, nursing, allied health, dentistry and oral health, health-other, welfare and carers. Data were aggregated for each category to obtain total headcount, total full time equivalent (FTE) positions and total annual hours of service per capita, with changes observed over the five-year period.

RESULTS

All categories of the Tasmanian HWC workforce except welfare grew between 2011 and 2016. While this growth occurred in all SA4 regions across the state, the HWC workforce remained maldistributed, with more annual hours of service per capita provided in the Hobart area. Although the HWC workforce remained highly feminised, a move toward gender balance was observed in some categories, including medicine, dentistry and oral health, and carers. The HWC workforce also saw an increase in part-time workers across all categories.

CONCLUSIONS

Adopting a broad approach to health workforce planning can better reflect the reality of healthcare service delivery. For underserviced rural communities, recognising the diverse range of workers who can contribute to the provision of health, welfare and care services offers the opportunity to realise existing workforce capacity and explore how 'total care' may be delivered by different combinations of health, welfare and care workers.

摘要

背景

与澳大利亚大都市相比，农村社区的卫生专业人员服务水平较低。然而，大多数评估卫生劳动力的研究都集中在离散的专业群体上，而不是集中在社区内的各种卫生、护理和福利工作者的集体贡献上。因此，本研究的目的是说明一种评估澳大利亚塔斯马尼亚州卫生、福利和护理（HWC）劳动力更广泛构成的新方法，以及该方法在为农村社区提供医疗服务方面的潜力。

方法

获取了塔斯马尼亚州所有参与卫生、福利和护理服务提供的工作者的人口普查数据（2011 年和 2016 年），以及该州每个统计 4 级区域（SA4）的数据。工作者被分为七类：医学、护理、联合健康、牙科和口腔健康、其他健康、福利和护理人员。为每个类别汇总数据，以获得每个类别的总人数、总全职等效（FTE）职位和人均服务的总年度小时数，并观察五年期间的变化。

结果

除福利外，塔斯马尼亚州 HWC 劳动力的所有类别在 2011 年至 2016 年间都有所增长。尽管这种增长发生在该州所有 SA4 地区，但 HWC 劳动力仍然分布不均，霍巴特地区提供的人均服务年度小时数更多。尽管 HWC 劳动力仍然高度女性化，但在一些类别中，包括医学、牙科和口腔健康以及护理人员，观察到性别平衡的趋势。所有类别中的兼职工作者数量也有所增加。