护士进入和离开家庭卫生部门的转变
Zoe Samson1,2, Lauren J Hunt1,3, Laura M Wagner1,4
1University of California San Francisco, USA.
Medical care research and review : MCRR
|February 19, 2026
概括
家庭保健护理面临着挑战,因为注册和执照的实践/职业护士的流动率很高. 进入这个重要部门的低率加剧了对全国家庭医疗服务的担忧.
科学领域:
- 医疗保健劳动力动力学
- 护理经济学 护理经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 越来越多的家庭医疗服务需求需要稳定的护理劳动力.
- 现有证据表明,家庭保健护理部门的潜在不稳定性和收缩.
- 注册护士 (RN) 和执照实践/职业护士 (LPN/LVNs) 对于提供家庭医疗保健至关重要.
研究的目的:
- 分析RN和LPN/LVN进入和退出家庭卫生部门的过渡情况.
- 为了比较家庭医疗与医院部门的营业额.
- 评估从其他医疗保健和非医疗保健领域进入家庭健康的速度.
主要方法:
- 从2003年1月到2023年6月的利用当前人口调查 (CPS) 月度数据.
- 家庭医疗和医院部门之间的营业额比较.
- 计算了从替代就业部门进入家庭医疗护士的预测概率.
主要成果:
- 家庭医疗部门的营业额总是比医院部门高得多.
- 来自任何其他部门的护士进入家庭医疗的预测概率始终很低,在1%或以下.
- 高周转率加上最小的新进入者表明潜在的劳动力赤字.
结论:
- 家庭卫生护理工作人员的特点是流动性高,入职率低.
- 这些劳动力趋势对全国家庭卫生服务的可持续性构成重大风险.
- 迫切需要制定战略,以改善家庭保健护理部门的保留和招聘.
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