影响公共行为健康系统劳动力的流动和磨损因素:定性研究
Eliza Hallett1, Erika Simeon1, Vineeth Amba1
1Center for Health Systems Effectiveness (Hallett, Simeon, Howington, McConnell) and Division of General Internal Medicine (Zhu), School of Medicine, Oregon Health & Science University, Portland; Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey (Amba).
Psychiatric services (Washington, D.C.)
|June 30, 2023
概括
低工资,繁重的工作负载和基础设施不良导致公共系统的行为健康工作人员流动. 解决系统性资金不足和改善工作场所支持对于保留和获得护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
背景情况:
- 显著的行为健康劳动力危机影响着全国的公共系统.
- 了解推动劳动力短缺的因素对于制定政策和改善护理准入至关重要.
研究的目的:
- 调查导致俄勒冈州公共行为健康工作人员流动和 attrition 的关键因素.
主要方法:
- 与俄勒冈州公共行为健康系统的24名利益相关者进行了半结构化的定性访谈.
- 利用转录的采访的代编码来确定关于新出现的主题的共识.
主要成果:
- 出现了五个主要主题,对员工留守产生负面影响:低工资,过度的文档负担,基础设施不足,职业发展有限,以及创伤性工作环境.
- 大量的案例和患者敏度加剧了工人的压力.
- 长期的资金不足和不良的行政支持导致了低估和倦怠的感觉,导致了消耗.
结论:
- 对行为健康的系统性投资不足会对提供者产生负面影响.
- 政策干预必须解决财政和工作场所的支持,以缓解劳动力短缺和改善日常工作环境.
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