打破循环:西班牙的依赖性护理系统如何在老年护理助理中创造职业不平等,以及改革的必要性
Mireia Campoy-Vila1,2, Albert Espelt3,4, Júlia Jubany1
1Sport, Exercise and Human Movement (SEaHM), Faculty of Health Sciences at Manresa, Universitat de Vic - Universitat Central de Catalunya (UVic-UCC), Av. Universitària, 4-6, Manresa, 08242, Spain.
International journal for equity in health
|March 19, 2025
概括
与公共设施相比,西班牙私人养老院的老年护理助理面临着更差的工作条件和更糟糕的健康结果. 私有化对护理质量和员工福利产生负面影响,需要增加对社区护理的公共投资.
科学领域:
- 老年学和公共卫生
- 医疗保健管理和政策
- 职业健康和安全问题 职业健康和安全问题
背景情况:
- 西班牙的依赖法律旨在改善护理,但也引起了对私有化服务的担忧.
- 私有化可能会在老年护理助理的工作条件上造成不平等.
- 本研究调查了设施所有权对护理质量和员工福祉的影响.
研究的目的:
- 探索西班牙养老院老年护理助理的就业和工作条件.
- 评估这些工人的健康状况.
- 检查设施所有权对这些因素的影响.
主要方法:
- 在西班牙 (2022) 344名老年护理助理的描述性横截面研究.
- 通过自行管理的在线调查问卷收集的数据.
- 分析包括健康状况的SF-12v1和所有权影响的Poisson回归.
主要成果:
- 私人养老院工作人员报告说,工作和健康条件明显恶化 (aPR=1.19).
- 在私人设施中,48.2%的人报告缺乏时间来完成任务,而在公共设施中为22.6%.
- 在私人设施中,情绪疲劳更为普遍 (86.6%与71.7%相比).
结论:
- 新自由主义政策和养老院私有化对老年护理助理的工作条件和健康产生了负面影响.
- 私有化加剧了护理工作者之间的健康不平等.
- 增加公共投资和转向以社区为基础的护理对于改善条件和护理质量至关重要.
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