养老院越来越依赖直接护理护理人员的雇佣机构
John R Bowblis1, Christopher S Brunt2, Huiwen Xu3
1John R. Bowblis (jbowblis@miamiOH.edu), Miami University, Oxford, Ohio.
Health affairs (Project Hope)
|February 14, 2024
概括
从2018年到2022年,养老院越来越多地使用代理工作人员来应对短缺. 这种依赖,虽然很常见,但更昂贵,并且与较低的质量评级有关,影响了养老院改革的努力.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 养老院面临着直接护理人员短缺的持续挑战.
- 来自机构的临时护理人员经常被用来弥合这些差距.
研究的目的:
- 检查养老院利用机构护理人员的趋势.
- 分析包括大流行前和COVID-19大流行 (2018-2022) 的时间段.
主要方法:
- 对2018年至2022年养老院人员数据的分析.
- 机构员工使用,工作时间和相关成本的比较.
主要成果:
- 机构护理人员在养老院的使用率从2018年的23%翻了一番,到2022年将达到近50%.
- 在研究期间,机构工作人员的工作时间从总直接护理时间的3%增加到11%.
- 到2022年,13.8%的设施每天使用机构人员,这表明向慢性短缺解决方案的转变.
- 与直接雇佣相比,代理机构员工的每小时成本比直接雇佣高50-60%.
- 依赖代理人工作人员的设施总体质量评级 (五星级) 往往较低.
结论:
- 越来越多的人依赖机构护理人员,这给养老院带来了巨大的财务负担和潜在的质量问题.
- 政策制定者必须在养老院改革中解决这些劳动力转移问题,以确保足够的人员和护理质量.
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