评估农村医疗保健劳动力计划:在VHA计划中应用修改后的整体人保改进框架
Meghan R Longacre1, Linda M Kinney2, Kathleen L Carluzzo2
1The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.
概括
农村医疗保健工作人员的短缺仍然存在. 退伍军人健康管理局的退伍军人健康管理局.
科学领域:
- 医疗保健管理的管理
- 农村卫生 农村卫生
- 劳动力发展 劳动力发展
背景情况:
- 农村地区普遍存在严重的医疗保健劳动力短缺问题.
- 有效的招聘和保留策略对于农村医疗保健至关重要.
- 退伍军人卫生管理局 (VHA) 作为一个案例研究来检查这些策略.
研究的目的:
- 检查证据并确定VHA招聘和保留农村医疗保健工作人员计划中的差距.
- 利用一个整体的劳动力保留框架来分析现有的举措.
主要方法:
- 通过2023年农村招聘和雇用计划确定了VHA农村劳动力计划.
- 按农村重点,招聘/保留重点和证据强度分类的举措.
- 将举措映射到一个修改的全人保留改进框架 (WoP-RIF),评估四个领域.
主要成果:
- 在31个VHA计划中,只有19%专门针对农村劳动力.
- 大多数 (48%) 的人都在招聘和留住员工,但71%的人缺乏足够的有效性证据.
- 倡议主要集中在财务 (52%) 和工作场所/组织 (42%) 领域,对社区/场所 (10%) 关注有限.
结论:
- 针对农村劳动力短缺的VHA举措更多的是以招聘为重点,而不是以保留为重点.
- 关键的保留领域,特别是社区/地点,未得到充分解决.
- 需要使用整体框架进行更严格的评估,以改善农村劳动力发展.
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