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农村卫生人力系统中的老年人:一种系统建模方法。

Mature-Aged People in the Rural Health Workforce System: A Systems Modelling Approach.

作者信息

Quilliam Claire, Thompson Jason, Crawford Nicole, McKinstry Carol, Chambers Aaron, Bhat Ravi, Stanbrook Leigh

机构信息

Department of Rural Health, The University of Melbourne, Shepparton, Australia.

Faculty of Architecture, Building and Planning, Transport, Health and Urban Systems Research Hub, The University of Melbourne, Melbourne, Australia.

出版信息

Aust J Rural Health. 2025 Feb;33(1):e13222. doi: 10.1111/ajr.13222.

DOI:10.1111/ajr.13222
PMID:39803775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11848814/
Abstract

OBJECTIVE

The median age of people in rural areas is older than those living in metropolitan areas. Harnessing the potential of the mature-aged population in rural communities may present a uniquely sustainable approach to strengthening the rural health workforce system. The objective of this study was to map the rural health workforce system in Australia and identify the current and potential role of mature-aged people in the workforce system.

SETTING

Not applicable.

PARTICIPANTS

Not applicable.

DESIGN

Systems thinking, specifically causal loop diagramming.

RESULTS

The causal loop diagram illustrates the interrelated variables in the rural health workforce system. It also illustrates that the potential contribution of mature-aged people living in rural communities has been overlooked in the strategies to address the rural workforce undersupply.

CONCLUSION

Health workforces in regional, rural and remote communities in Australia have experienced constant undersupply despite ongoing government and community effort. Novel approaches are required to determine potential strategies to harness the capacity of rural mature-aged people to strengthen the rural health workforce.

摘要

目的

农村地区人群的年龄中位数高于大城市地区的人群。挖掘农村社区成熟年龄人口的潜力可能是加强农村卫生人力系统的一种独特的可持续方法。本研究的目的是描绘澳大利亚农村卫生人力系统,并确定成熟年龄人口在该人力系统中的当前和潜在作用。

设置

不适用。

参与者

不适用。

设计

系统思维,特别是因果循环图法。

结果

因果循环图说明了农村卫生人力系统中的相关变量。它还表明,在解决农村劳动力供应不足的策略中,农村社区成熟年龄人口的潜在贡献被忽视了。

结论

尽管政府和社区不断努力,但澳大利亚地区、农村和偏远社区的卫生人力一直供应不足。需要采用新方法来确定潜在策略,以挖掘农村成熟年龄人口的能力,加强农村卫生人力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc78/11848814/27c942d54db7/AJR-33-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc78/11848814/27c942d54db7/AJR-33-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc78/11848814/27c942d54db7/AJR-33-0-g001.jpg

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本文引用的文献

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BMC Med Educ. 2024 Jul 29;24(1):806. doi: 10.1186/s12909-024-05787-3.
2
Study supports for rural mature-aged university health students: a Stakian multicase study.农村成年大学生健康研究支持:斯塔基ian 多案例研究。
BMC Med Educ. 2024 Feb 20;24(1):163. doi: 10.1186/s12909-024-05128-4.
3
Diet-Related Disease Prevention in a Rural Australian Setting: Understanding Barriers, Enablers, and the Role of Rural Health Services in Supporting Changes in Local Rural Food Environments.
农村澳大利亚环境下与饮食相关疾病的预防:了解障碍、促进因素以及农村卫生服务在支持当地农村食物环境变化中的作用。
Nutrients. 2023 Nov 30;15(23):4979. doi: 10.3390/nu15234979.
4
Tools, frameworks and resources to guide global action on strengthening rural health systems: a mapping review.指导全球加强农村卫生系统行动的工具、框架和资源:一项制图综述。
Health Res Policy Syst. 2023 Dec 4;21(1):129. doi: 10.1186/s12961-023-01078-3.
5
Australian Universities Accord. Part 1: Rural health education.澳大利亚大学协议。第1部分:农村健康教育。
Aust J Rural Health. 2023 Aug;31(4):603-604. doi: 10.1111/ajr.13017. Epub 2023 Jul 23.
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The use of participatory systems mapping as a research method in the context of non-communicable diseases and risk factors: a scoping review.参与式系统图在非传染性疾病和风险因素研究中的应用:范围综述。
Health Res Policy Syst. 2023 Jul 6;21(1):69. doi: 10.1186/s12961-023-01020-7.
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