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经济证据表明家庭和社区护理投资的合理性:安大略省个人支持工作者工资均等化的案例。

Economic Evidence for Home and Community Care Investment: The Case for Ontario Personal Support Workers' Wage Parity.

机构信息

Senior Research Associate - Quantitative Lead VHA Home HealthCare Toronto, ON Research Associate and Home and Community and Long-term Care Sector Co-Lead Canadian Health Workforce Network Ottawa, ON Assistant Professor (Status) Institute of Health Policy, Management and Evaluation University of Toronto Toronto, ON.

Manager of Research VHA Home HealthCare Toronto, ON Assistant Professor (Status) Dalla Lana School of Public Health University of Toronto, Toronto, ON.

出版信息

Healthc Policy. 2023 Aug;19(1):23-31. doi: 10.12927/hcpol.2023.27161.

DOI:10.12927/hcpol.2023.27161
PMID:37695703
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10519337/
Abstract

The home and community care (HCC) sector is in a health human resource crisis. Particularly concerning is the shortage of personal support workers (PSWs) who provide the majority of HCC. This paper outlines a strategy to mitigate the HCC PSW shortage by applying appropriate funding to HCC and focusing on equal pay between HCC and institutional long-term care facilities' PSWs. Using publicly available data, our calculations estimate substantial government cost-savings from investing in HCC PSWs to increase HCC capacity. Beyond the economic evidence, how such investments would benefit those seeking care are also highlighted.

摘要

家庭和社区护理(HCC)领域正面临着卫生人力资源危机。尤其令人担忧的是,提供大部分 HCC 服务的个人支持工作者(PSW)严重短缺。本文概述了通过向 HCC 提供适当资金并关注 HCC 和机构长期护理设施 PSW 之间的同工同酬来缓解 HCC PSW 短缺的策略。使用公开可用的数据,我们的计算估计,通过投资 HCC PSW 来增加 HCC 能力,政府将节省大量成本。除了经济证据外,还强调了此类投资将如何使寻求护理的人受益。

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本文引用的文献

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Admission to the Long-Term Care Facilities and Institutionalization Rate in Community-Dwelling Frail Adults: An Observational Longitudinal Cohort Study.社区居住体弱成年人入住长期护理机构情况及机构化率:一项观察性纵向队列研究
Healthcare (Basel). 2022 Feb 7;10(2):317. doi: 10.3390/healthcare10020317.
2
Unmet needs of family caregivers of hospitalized older adults preparing for discharge home.准备出院回家的住院老年人家庭照护者未满足的需求。
Chronic Illn. 2020 Jun;16(2):131-145. doi: 10.1177/1742395318789467. Epub 2018 Aug 4.
3
The evolving role of the personal support worker in home care in Ontario, Canada.加拿大安大略省家庭护理中个人支持工作者角色的演变
Health Soc Care Community. 2018 Mar;26(2):240-249. doi: 10.1111/hsc.12514. Epub 2017 Nov 8.
4
Activities of daily living in nursing home and home care settings: a retrospective 1-year cohort study.养老院和家庭护理环境中的日常生活活动:一项为期1年的回顾性队列研究。
J Am Med Dir Assoc. 2015 Feb;16(2):114-9. doi: 10.1016/j.jamda.2014.07.013. Epub 2014 Sep 20.
5
The evolving role of health care aides in the long-term care and home and community care sectors in Canada.加拿大长期护理和家庭及社区护理领域中医疗保健助手的角色演变。
Hum Resour Health. 2013 Jun 14;11:25. doi: 10.1186/1478-4491-11-25.
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Key issues in human resource planning for home support workers in Canada.加拿大居家护理工作者人力资源规划中的关键问题。
Work. 2011;40(1):21-8. doi: 10.3233/WOR-2011-1203.
7
Aging in place versus nursing home care: comparison of costs to Medicare and Medicaid.就地养老与养老院护理:医疗保险和医疗补助的成本比较。
Res Gerontol Nurs. 2012 Apr;5(2):123-9. doi: 10.3928/19404921-20110802-01. Epub 2011 Aug 17.
8
The impact of implementing managed competition on home care workers' turnover decisions.实施管理式竞争对居家护理人员离职决策的影响。
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Functional decline in hospitalized older adults.住院老年患者的功能衰退
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Conducting research on home environments: lessons learned and new directions.开展家庭环境研究:经验教训与新方向。
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