持続可能で適切な医療従事者を確保する
Michael Anderson1, Ciaran O'Neill2, Jill Macleod Clark3
1Department of Health Policy, London School of Economics and Political Science, London, UK.
Lancet (London, England)
|May 9, 2021
まとめ
英国の医療・介護部門は,孤立した労働力計画により,空き職が持続し,維持率が低い. 統合された戦略,改善された訓練,より良い賃金は 持続可能な将来の労働力にとって不可欠です.
科学分野:
- 健康政策
- 労働力計画
- 公衆衛生
背景:
- イギリスの医療・介護部門は労働力の13%を雇用しているが,計画が効果的ではない.
- 現在の戦略は,職業を孤立させ,変化する健康ニーズに適応できず,空いた職と低いモラルをもたらします.
- 関心のある主な分野は,初等医療,精神保健,看護,サポートスタッフ,社会福祉です.
研究 の 目的:
- 英国における現在の医療・介護人材計画を批判する.
- 課題を特定し,持続可能な労働力のための統合的な解決策を提案する.
- 教育,訓練,スタッフ支援の改革を提唱する.
主な方法:
- 現在の医療・介護人材の計画効果の分析
- 雇用の空白,低雇用率,モラルなどの持続的な問題を特定する.
- 労働力不足と差し迫った課題への対応の検討
- 統合された労働力アプローチと改革のための勧告の策定
主要な成果:
- 既存の労働力計画が非効率で孤立していることで批判されている.
- 継続的な空白,低いモラル,そして高いターンオーバーは,重要な分野全体で一般的です.
- 課題には,多病率の上昇,無給の介護者の不足,NHSの国際的魅力の低下が含まれています.
- 提案された解決策は,統合された労働力戦略,教育改革,スタッフ支援の強化です.
結論:
- 統合された労働力アプローチと教育改革は,目的に適した保健医療システムにとって不可欠です.
- 従業員の福祉の向上,キャリアの発展,差別への対処は,採用と留守に不可欠です.
- 賃金の上昇は,少なくとも平均収入の成長に匹敵し,実質的な資金増加 (年間4%) が必要である.
- 根本的な長期的な戦略的ビジョンは NHSの労働力の将来に不可欠です.
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