谁正在离开紧急医疗服务工作人员?
Kyla F Woodward1, Christopher S Hanson, Bianca K Frogner
1Author Affiliations: Center for Health Workforce Studies, Department of Family Medicine, University of Washington, Seattle, Washington (Drs Woodward, Frogner, and Patterson); TMF Health Quality Institute Austin, Texas (Dr Hanson).
概括
紧急医疗服务 (EMS) 的营业额增加,不同临床医生的离职率更高. 保留策略至关重要,尤其是在支持EMS劳动力中的少数群体时.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 紧急医疗服务 (EMS) 的劳动力非常重要,但面临着保留方面的挑战.
- 了解劳动力动态,包括社会人口因素和就业流动性,对于维持服务能力至关重要.
研究的目的:
- 调查EMS劳动力中的社会人口统计特征,工作属性和工作过渡.
- 分析EMS劳动力规模和人口统计数据的变化,重点关注在COVID-19大流行之前和之后离开职业的人.
主要方法:
- 一项回顾性横截面研究,利用2018-2023年当前人口调查数据.
- 分析美国劳动力数据以识别EMS临床医生并追踪他们的就业状况 (留在EMS或离开EMS).
主要成果:
- 在2018-2020年和2021-2023年期间,EMS临床医师离职率从16.0%增加到23.2%.
- 在美国印第安人/阿拉斯加原住民,亚洲人和黑人EMS临床医生中,与白人或混合种族临床医生相比,注意到离职率更高.
- 回归分析确定种族是重要的预测因素,亚裔和黑人临床医生更有可能离开EMS工作.
结论:
- 欧洲医疗系统的工作人员经历了大量的流动,不成比例地影响了不同的临床医生.
- 迫切需要采取旨在减少EMS劳动力消耗和改善所有临床医生的保留,特别是那些来自少数民族背景的政策.
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