领取薪水保护计划贷款与美国养老院人员配置模式的联系
Jasmine L Travers1, Brian E McGarry2, Steven Friedman3
1Rory Meyers College of Nursing, New York University Grossman School of Medicine, New York.
JAMA network open
|July 27, 2023
概括
薪资保护计划 (PPP) 贷款增加了护理助理 (CNA) 和执照实践护士 (LPN) 在养老院的工作时间. 然而,这些临时贷款可能需要可持续的支持,以解决正在进行的养老院人员短缺问题.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 护理劳动力研究研究护理劳动力.
背景情况:
- 养老院 (NH) 人员短缺严重影响居民护理质量.
- 随着COVID-19大流行,国家公路的现有人员供应挑战进一步加剧.
- 支票保护计划 (PPP) 提供了可原谅的贷款,具有特定的员工分配要求.
研究的目的:
- 为了比较收到PPP贷款的国民政府与未收到PPP贷款的国民政府的特征.
- 评估在PPP贷款收到后,国家公务院人员工作时间的变化.
- 评估PPP对NH人事水平的经济影响.
主要方法:
- 2020年1月1日至12月23日使用国家NH数据进行经济评估.
- 接受PPP贷款的国民政府与不接受PPP贷款的国民政府进行比较.
- 事件研究方法分析每周工作人员工作时间 (RN,LPN,CNA) 在贷款收到之前和之后.
主要成果:
- 在6008个国家公用事业单位中,30.1%获得了PPP贷款. 贷款受益人与非受益人的特点在很大程度上不同.
- 接受PPP贷款的国民公用事业单位在贷款后12周平均增加了26.19个CNA小时/周和6.67个LPN小时/周.
- 在PPP贷款收款和注册护士 (RN) 工作时间之间没有发现显著的关联.
结论:
- 由于PPP需要资金来配备人员,因此受益国家公路的CNA和LPN小时数增加.
- 临时贷款计划可能需要可持续的长期支持,以有效地缓解NH人员短缺.
- 政策干预应考虑可持续的融资模式,以确保养老院的人员充足.
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