在宅医療における離職コスト:概念モデル
K A P Zagrodney1,2, S M McKay1,2,3,4,5, R Jaffe1
1VHA Home HealthCare, Toronto, Ontario, Canada.
Healthcare management forum
|February 6, 2026
まとめ
在宅医療従事者の高い離職率は雇用主にとってコストがかかります。この研究では、これらのコストを推定するための最初のモデルを共同設計し、在宅医療分野の効果的な定着ポリシーの開発を支援しました。
科学分野:
- 医療経済学
- 人的資源管理
- ソーシャルケア政策
背景:
- 在宅医療は高い離職率に直面しており、サービス提供とコストに影響を与えています。
- 離職の経済的影響を理解することは、効果的な雇用主ポリシーにとって不可欠です。
- 既存のモデルでは、在宅医療従事者の離職に関連する固有のコストを完全には捉えきれていません。
研究 の 目的:
- 在宅医療分野に特化した初の離職コストモデルを開発すること。
- 在宅医療における離職コストに寄与する主要因を特定すること。
- 在宅医療雇用主が離職費用を推定および管理するためのツールを提供すること。
主な方法:
- 大規模な在宅医療組織の主題専門家を含む共同設計アプローチ。
- 労働経済学および人的資源管理理論の統合。
- 分野固有のコスト変動を考慮したモデルの開発。
主要な成果:
- 研究の結果、在宅医療に特化した初の離職コストモデルが作成されました。
- このモデルは、在宅医療従事者の離職がもたらす経済的影響を定量化します。
- エビデンスに基づいた定着戦略の必要性を強調しています。
結論:
- 離職コストの正確な推定は、在宅医療組織にとって不可欠です。
- 開発されたモデルは、定着ポリシーおよびプログラムの設計を導くことができます。
- 離職の削減は、在宅医療従事者、クライアント、およびより広範な医療システムに利益をもたらします。
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