确保英国的健康和护理工作人员具有可持续性和适合性
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
概括
英国的医疗和护理部门面临着持续的空缺和低保留率,这是由于孤立的劳动力规划. 综合战略,改善培训和提高工资对于未来的劳动力可持续性至关重要.
科学领域:
- 卫生政策
- 劳动力规划
- 公共卫生
背景情况:
- 英国的医疗和护理部门雇佣了13%的劳动力,但计划却没有效果.
- 目前的策略孤立职业,无法适应不断变化的健康需求,导致空缺职位和低士气.
- 主要关注的领域包括初级保健,心理健康,护理,辅助人员和社会护理.
研究的目的:
- 批评英国目前的医疗和护理工作人员规划.
- 确定挑战并提出可持续劳动力的综合解决方案.
- 倡导教育,培训和人员支持方面的改革.
主要方法:
- 分析当前卫生和护理工作人员规划的有效性.
- 识别持续存在的问题,如空缺,低保留率和士气.
- 审查应对劳动力短缺和即将面临的挑战.
- 制定综合劳动力方法和改革的建议.
主要成果:
- 现有的劳动力规划因其无效和孤立的方法而受到批评.
- 在关键领域普遍存在持续的空缺,低士气和高周转率.
- 挑战包括多病率上升,缺乏无薪护理人员,以及NHS的国际吸引力下降.
- 提出的解决方案包括综合劳动力战略,教育改革和加强员工支持.
结论:
- 综合劳动力方法和教育改革对于一个适合目的的健康和护理系统至关重要.
- 提高员工福利,职业发展和解决歧视对于招聘和留守至关重要.
- 需要提高工资,至少与平均收入增长相匹配,并大幅增加实际资金 (每年4%).
- 对于NHS工作人员的未来, 一个激进的长期战略愿景是必不可少的.
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