在日本的公共卫生护士密度和相关因素:一个生态研究
Mayumi Mizutani1, Ritsuko Nishide2, Naoko Nishitani3
1Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Aichi, Japan. mizutani.mayumi.i9@f.mail.nagoya-u.ac.jp.
在日本增加公共卫生护士 (PHN) 密度需要鼓励毕业生选择PHN职业并留在他们的县内. 教育能力也在PHN分布中发挥着关键作用.
科学领域:
- 公共卫生 公共卫生
- 护理劳动力研究 护理劳动力研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 充分的公共卫生护士 (PHN) 密度对于有效的社区卫生服务至关重要.
- 在PHN密度的地理差异可能会影响医疗保健的获取和结果.
研究的目的:
- 绘制PHN密度在日本47个县的地理分布图 (2019-2024年).
- 确定与县级PHN密度相关的区域因素.
- 分析不同PHN密度量度的这些关联.
主要方法:
- 一项利用来自日本47个县的公共数据进行的生态研究.
- 变量包括学校密度,教育能力和毕业生的职业选择.
- 采用了普通最小平方 (OLS) 和量子力回归 (QR) 模型.
主要成果:
- 平均PHN密度为每百万人口378.0,区域差异很大.
- 较高的PHN密度与教育能力和毕业生在他们的县内选择PHN职业的积极相关.
- 关联因数量而异,教育能力在第30个百分点和第90个百分点显著.
结论:
- 提高县级PHN密度需要将PHN推广为第一职业选择和保留在县内.
- 针对PHN数量和质量的综合战略对于推动日本公共卫生护理至关重要.
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