评估医疗保健员工病假的快速返回限制:差异差异研究
Jarno Turunen1, Kati Karhula2, Annina Ropponen3
1Finnish Institute of Occupational Health (FIOH), Helsinki and Oulu, Finland; Jyväskylä University School of Business and Economics, Jyväskylä, Finland.
International journal of nursing studies
|January 21, 2025
概括
芬兰2020年"工作时间法"改革减少了短班次间隔,称为快速回报. 这一变化与公共卫生保健工作人员病缺率的较小增加有关,改善了整体福祉.
科学领域:
- 职业健康 职业健康 职业健康
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 班次间的短时间间隔 (快速返回) 与健康不良影响和医疗保健中的职业事故增加有关.
- 芬兰2020年工作时间法改革旨在限制不规则轮班工作的休息时间在11小时以下,以保护员工的健康.
研究的目的:
- 评估2020年"工作时间法"改革对芬兰公共医疗保健快速恢复的影响.
- 评估医疗保健员工中减少快速返回和病缺之间的关联.
主要方法:
- 准实验性,差异差异回归分析2019-2021年病缺数据.
- 对那些被要求限制快速回报率的医院单位 (治疗组) 与那些改革前快速回报率较低的医院单位 (对照组) 的比较.
- 治疗意图和每条协议分析,使用共变量和反向概率加权的灵敏度分析.
主要成果:
- 这一改革与病假增加的大幅减少有关.
- 每项协议分析显示,2019-2020年治疗组的病缺率降低了13%.
- 经过调整后的分析表明,病缺率下降得更大,估计在 -0.6至 -0.9个百分点之间.
结论:
- 工作时间法改革有效地减少了快速回报.
- 减少快速回报与医疗保健工作者病缺率的较小增加有关.
- 政策制定者和管理者应该考虑调整快速返回频率,以提高员工福祉和运营效率.
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