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国家痴呆症劳动力研究:美国国立衰老研究所的视角

The National Dementia Workforce Study: Perspective From the National Institute on Aging.

作者信息

Novak Priscilla

机构信息

National Institute on Aging, National Institutes of Health, Bethesda, Maryland, USA.

出版信息

J Am Geriatr Soc. 2025 Aug 28. doi: 10.1111/jgs.70065.

Abstract

As the population of individuals living with Alzheimer's disease and related dementias (AD/ADRD) continues to grow, so does the need for a well-prepared and stable dementia care workforce. The National Dementia Workforce Study (NDWS) represents a significant investment to understand the demographics, experiences, and magnitude and scope of challenges faced by the professional and direct care workforce providing care to people with dementia. This article discusses the NDWS's goals, data collection efforts, and data release. NDWS is the first large-scale national survey of the dementia care workforce, encompassing physicians, advanced practice providers, nurses, direct care workers, and other health professionals across four key care settings: community-based medical practices, nursing homes, assisted living communities, and home care. The study's innovative design allows for data linkage with Medicare claims and other health databases, providing a data infrastructure for understanding workforce factors that influence care quality and outcomes. The first datasets were released in July of 2025, and the data can be accessed at no cost. The linked NDWS-Medicare datasets are available through a secure web portal for analysis. Findings from this analysis can answer novel questions that may shape the future of the dementia care workforce in the United States, ensuring that the growing population of people with dementia receives high-quality care. As the study progresses, longitudinal results and annual data updates will continue to provide valuable insights, helping researchers, practitioners, and policymakers understand the workforce caring for people affected by dementia.

摘要

随着阿尔茨海默病及相关痴呆症(AD/ADRD)患者数量持续增加,对一支准备充分且稳定的痴呆症护理劳动力队伍的需求也在不断增长。国家痴呆症劳动力研究(NDWS)是一项重大投资,旨在了解为痴呆症患者提供护理的专业和直接护理劳动力的人口统计学特征、经历以及所面临挑战的规模和范围。本文讨论了NDWS的目标、数据收集工作以及数据发布情况。NDWS是首次对痴呆症护理劳动力进行的大规模全国性调查,涵盖了四个关键护理环境中的医生、高级执业提供者、护士、直接护理工作者以及其他卫生专业人员:社区医疗实践机构、疗养院、辅助生活社区和家庭护理机构。该研究的创新设计允许将数据与医疗保险理赔和其他健康数据库进行关联,为理解影响护理质量和结果的劳动力因素提供了数据基础设施。首批数据集于2025年7月发布,数据可免费获取。关联后的NDWS - 医疗保险数据集可通过安全的网络门户进行分析。该分析的结果能够回答一些新问题,这些问题可能会塑造美国痴呆症护理劳动力的未来,确保不断增加的痴呆症患者群体能够获得高质量护理。随着研究的推进,纵向结果和年度数据更新将继续提供有价值的见解,帮助研究人员、从业者和政策制定者了解为受痴呆症影响的人群提供护理的劳动力情况。

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