The personal assistance workforce: Trends in supply and demand

The personal assistance workforce: Trends in supply and demand
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DOI:
10.1377/hlthaff.25.4.1113
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发表时间:
2006-07-01
期刊:
影响因子:
9.7
通讯作者:
Harrington, Charlene
Harrington, Charlene
中科院分区:
医学1区
文献类型:
--
作者:
Kaye, H. Stephen;Chapman, Susan;Harrington, Charlene

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根据美国的调查数据,1989年至2004年,提供非机构性个人援助和家庭保健服务的劳动力增加了两倍,增长速度远远快于需要此类服务的人口。在同一时期,用于此类服务的医疗补助支出大幅增加,而机构环境中类似服务的劳动力规模和支出保持相对稳定。个人援助工作者的工资水平低,已经落后于类似职业的工资水平;保健福利稀缺;工作更替率高,这些都突出表明需要更加重视确保一支稳定和训练有素的劳动力队伍,以满足日益增长的需求。
The workforce providing noninstitutional personal assistance and home health services tripled between 1989 and 2004, according to U.S. survey data, growing at a much faster rate than the population needing such services. During the same period, Medicaid spending for such services increased dramatically, while both workforce size and spending for similar services in institutional settings remained relatively stable. Low wage levels for personal assistance workers, which have fallen behind those of comparable occupations; scarce health benefits; and high job turnover rates highlight the need for greater attention to ensuring a stable and well-trained workforce to meet growing demand.