Centre for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland.
Lausanne University Hospital, Switzerland.
Med Care Res Rev. 2024 Feb;81(1):3-18. doi: 10.1177/10775587231204105. Epub 2023 Oct 21.
Shortages of satisfied and well-trained health care professionals are an urgent threat for health systems worldwide. Although numerous studies have focused on retention issues for nurses and physicians, the situation for the allied health workforce remains understudied. We conducted a rapid review of the literature on allied health workers to investigate the main reasons for leaving their profession. 1,305 original research articles were retrieved from databases MEDLINE, CINAHL, PsycInfo, and Epistemonikos, of which 29 were eligible for data extraction. Reviewed studies featured mainly pharmacists, psychologists, dietitians, physical therapists, emergency medical professionals, and occupational therapists. We categorized 17 typical factors of the intent to leave as organizational, psychological, team and management, and job characteristics. The relative importance of each factor was assessed by measuring its prevalence in the selected literature. By revealing common themes across allied health professions, our work suggests actionable insights to improve retention in these vital services.
满足和训练有素的医疗保健专业人员的短缺是全球卫生系统面临的紧迫威胁。尽管许多研究都集中在护士和医生的留用问题上,但辅助卫生人员的情况仍研究不足。我们对辅助卫生工作者的文献进行了快速审查,以调查他们离开职业的主要原因。从 MEDLINE、CINAHL、PsycInfo 和 Epistemonikos 数据库中检索到 1305 篇原始研究文章,其中 29 篇符合数据提取标准。审查的研究主要涉及药剂师、心理学家、营养师、物理治疗师、急诊医疗专业人员和职业治疗师。我们将 17 个典型的离职意向因素分为组织、心理、团队和管理以及工作特征。通过衡量所选文献中的普遍性来评估每个因素的相对重要性。通过揭示辅助卫生专业之间的共同主题,我们的工作为改善这些重要服务的留用提供了可行的见解。