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J Allied Health. 2021 Fall;50(3):221-228.
Weekend admissions to hospital are associated with worse patient outcomes. Casualisation of the weekend workforce and reduced access to allied health (AH) services may contribute to this phenomenon. Alternative AH staffing models have been proposed. This study explored the perceptions of AH staff regarding weekend and after-hour staffing models.
Mixed-methods study including descriptive and thematic analysis of survey and focus group data. Participants were AH staff and stakeholders from a major Victorian (Australian) public health service.
160 staff (21%) completed the online survey. Three focus groups (16 participants) were conducted. Most AH disciplines used a casual staffing model on weekends. Most survey respondents (79%) thought a staffing model across 7 days would improve patient outcomes. In the focus groups, staff reported that the existing weekend staffing model was inadequate and could be optimised by weekday staff working across 7 days. For AH staff to work across 7 days, they emphasised the importance of planning and flexibility to enable a healthy work/life balance.
AH staff and stakeholders were dissatisfied with the casual AH work¬force model on weekends. Sustainable AH staffing models across 7 days are becoming increasingly important as healthcare resources become strained due to increasing demands.
周末住院与患者预后较差有关。周末劳动力的临时化和获得辅助医疗（AH）服务的机会减少可能导致了这种现象。已经提出了替代 AH 人员配备模式。本研究探讨了 AH 工作人员对周末和非工作时间人员配备模式的看法。
采用混合方法研究，对调查和焦点小组数据进行描述性和主题分析。参与者是来自维多利亚（澳大利亚）主要公共卫生服务机构的 AH 工作人员和利益相关者。
160 名工作人员（21%）完成了在线调查。进行了三次焦点小组（16 名参与者）。大多数 AH 学科在周末使用临时人员配备模式。大多数调查受访者（79%）认为 7 天制的人员配备模式将改善患者的预后。在焦点小组中，工作人员报告说，现有的周末人员配备模式不足，可以通过周内工作人员 7 天制工作来优化。为了让 AH 工作人员在 7 天内工作，他们强调了规划和灵活性的重要性，以实现健康的工作/生活平衡。
AH 工作人员和利益相关者对周末临时的 AH 劳动力模式不满意。随着医疗资源因需求增加而紧张，7 天制的可持续 AH 人员配备模式变得越来越重要。
