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口腔卫生工作人员的不平衡:一项基于加拿大人口的研究
1University of New Brunswick, Tilley Hall room 20, Fredericton, E3B 5A3, Canada. ngupta@unb.ca.
BMC health services research
|October 7, 2024
概括
加拿大的牙科工作人员面临着严重的地理和性别差异,尽管有新的公共保险计划,但这影响了获得护理的机会. 解决这些不平衡对于公平的口腔保健服务和实现健康目标至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康劳动力研究 卫生劳动力研究
- 健康 公平 卫生 公平
背景情况:
- 加拿大正在实施联邦公共牙科保险计划 (2022-2025年),以改善对牙科服务的财政准入.
- 关于口腔卫生 (HROH) 人力资源的供应和分配以满足人口需求的证据有限.
- 了解劳动力失衡是提高服务覆盖率的关键.
研究的目的:
- 量化加拿大牙科劳动力中的职业,地理,机构和性别不平衡.
- 为提高牙科服务覆盖率的HROH能力进行基准评估提供信息.
- 在新的国家牙医保险计划的背景下发现差异.
主要方法:
- 利用了2021年加拿大人口普查微数据,用于牙医,牙科卫生师/治疗师和牙科助理.
- 使用偏远指数评估地理分布不良情况.
- 执行了Blinder-Oaxaca分解来分析基于性别的收入不平等.
主要成果:
- 加拿大每1万人口中有3.4名活跃牙医,相关人员比例为1.7名卫生师/治疗师和1.6名助理.
- 与农村和偏远地区相比,所有牙科专业群体都在城市地区过度代表.
- 性别薪酬差距仍然存在:女性牙医的收入比男性低21%,女性牙科卫生师/治疗师的收入比男性低26%,原因不明.
结论:
- 在加拿大口腔卫生工作人员中存在显著的地理和性别不平衡.
- 这些差异给实现全民口腔保健覆盖率和健康公平带来了挑战.
- 需要进一步的研究,以创新的,以公平为重点的HROH规划和融资在公共政策.
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