解决养老院的人员短缺问题:宽松的培训和许可要求是否会增加护士助理人员?
Gulrukh Mehboob1, Hari Sharma1
1Department of Health Management and Policy, College of Public Health, The University of Iowa, Iowa City, Iowa, USA.
放松护士助理培训和许可规则并没有解决养老院人员短缺问题. 政策制定者应该探索替代策略,以提高护士助理的水平,并解决工作人员的担忧.
科学领域:
- 医疗保健管理的管理
- 卫生政策 卫生政策
- 老年学是指老年学的学科.
背景情况:
- 养老院人员短缺一直是一个持续的挑战.
- 随着COVID-19大流行,长期护理机构的现有劳动力问题进一步恶化.
- 各国探索了政策变化,包括放宽护士助理的培训和许可要求,以解决这些短缺问题.
研究的目的:
- 评估COVID-19相关政策的影响,放宽了护士助理培训和许可要求.
- 为了确定这些政策放松是否有效地提高了护士助理在养老院的员工水平.
主要方法:
- 使用准实验差异差异 (DID) 方法.
- 分析了2019-2023年季度的养老院护士助理每居民一天 (HPRD) 小时的季度数据.
- 与19个放宽要求的州 (治疗组) 与31个没有 (控制组) 的州进行了比较.
主要成果:
- 放松培训和执照要求对护士助理人员人员水平没有发现统计学上显著的影响.
- 对护士助理HPRD的平均治疗效果为-0.0001 (p=0.99).
- 对培训和执照放宽政策的单独分析也显示,这对护士助理人员没有重大影响.
结论:
- 放松护士助理培训和许可要求并没有缓解养老院的人员短缺问题.
- 目前的政策方法可能不足以解决护士助理人员的复杂问题.
- 政策制定者必须调查和实施替代的,更有效的策略,以提高养老院劳动力稳定性.
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