老年医生和老年护士从业人员的供应和地理分布
Ying Xue1, Lusine Poghosyan2, Qinyun Lin3
1School of Nursing, University of Rochester, Rochester, New York.
JAMA network open
|November 13, 2024
概括
由于越来越多的老年护士执业人员 (GNPs),老年医疗劳动力在全国范围内增长,但差距仍然存在,许多农村县缺乏老年医生 (GMD) 和GNP. 这凸显了改善贫困地区老年护理的必要性.
科学领域:
- 老年医学 老年医学
- 医疗卫生工作人员分析
- 公共卫生政策 公共卫生政策
背景情况:
- 人口老龄化和慢性疾病的高患病率需要扩大老年医疗劳动力.
- 了解劳动力趋势和地理差异对于有效的政策制定至关重要.
研究的目的:
- 从2010年到2020年,分析老年医生 (GMD) 和老年护士从业人员 (GNP) 的供应时间和地理趋势.
- 评估大都会和非大都会县之间的GMD和GNP供应差异.
主要方法:
- 一项重复的横截面研究,利用来自美国所有50个州和华盛顿特区 (2010-2020) 的县级数据.
- 分析的重点是GMD,GNP和每10万老年人的GMD/GNP总计数.
- 二次结果包括零GMD或GNP的县份的比例.
主要成果:
- 国家人均GMD供应减少了12.7%,而GNP从2010年到2020年增加了125.0%.
- 综合的GMD和GNP劳动力的人均增长了21.3%.
- 观察到显著的地理差异,GMD和GNP集中在大都市地区;63.9%的县没有GMD或GNP.
结论:
- 总体而言,国家老年劳动力供应与人口老龄化保持同步,受国内生产总值增长的推动.
- 持续的地理差异表明农村和非大都市地区服务不足.
- 未来的努力必须针对在服务不足的县增加GMD和GNP的可用性,以确保公平的老年护理.
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