Healthy Aging Requires a Healthy Home Care Workforce: the Occupational Safety and Health of Home Care Aides.
Healthy Aging Requires a Healthy Home Care Workforce: the Occupational Safety and Health of Home Care Aides.
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DOI：
10.1007/s40572-021-00315-7
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发表时间：
2021-09
影响因子：
7.9
通讯作者：
Edwards MF
中科院分区：
文献类型：
--
作者：
Quinn MM;Markkanen PK;Galligan CJ;Sama SR;Lindberg JE;Edwards MF
确定重要的家庭护理（HC）助手职业安全与健康（OSH）危害，并研究如何解决这些问题可以改善助手健康和整体HC服务的提供。具体来说，这篇综述试图回答：为什么HC对职业安全与健康很重要？最重要的职业安全与健康挑战是什么？如何通过改善健康和职业安全健康来改善客户的安全和健康？这些发现对未来的研究有什么启示？医疗保健是美国发展最快的行业之一。护理人员构成了其最大的劳动力，并且越来越需要照顾迅速老龄化的人口。助理员短缺的部分原因是HC工作组织的不稳定和严重的工作危害，导致助理员失去工作时间。最近的社会、经济和技术因素正在迅速改变HC工作的性质，造成与养老院类似的职业安全与健康危害。与此同时，助手正在经历社会和经济不平等，这增加了他们对职业安全与健康危害的脆弱性。这些危害对雇主来说也是一种负担，他们在招聘、保留和培训助手方面面临挑战。职业安全与卫生伤害和疾病中断了向客户提供护理的连续性。许多职业安全与卫生危害也使HC客户和家庭处于危险之中。需要一个新的框架和方法来评估助手和客户的安全，以指导未来的HC研究、政策和实践。需要政府、工业和劳工的承诺来资助和协调一个全面的、多学科的研究计划。
To identify important home care (HC) aide occupational safety and health (OSH) hazards and examine how addressing these can improve aide health and the delivery of HC services overall. Specifically, this review seeks to answer: Why is HC aide OSH important? What are the most significant OSH challenges? How can improving HC aide OSH also improve the safety and health of their clients? What implications do the findings have for future research? HC is one of the fastest growing US industries. Aides comprise its largest workforce and are increasingly needed to care for the rapidly aging population. There is an aide shortage due in part to instabilities in HC work organization and to serious job-specific hazards, resulting in aides losing work time. Recent social, economic, and technological factors are rapidly changing the nature of HC work, creating OSH hazards similar to those found in nursing homes. At the same time, aides are experiencing social and economic inequities that increase their vulnerability to OSH hazards. These hazards are also a burden on employers who are challenged to recruit, retain, and train aides. OSH injuries and illness interrupt the continuity of care delivery to clients. Many OSH hazards also put HC clients and families at risk. A new framework and methodologies are needed to assess aide and client safety together in order to guide future HC research, policies, and practices. Government, industry, and labor commitment is needed to fund and coordinate a comprehensive, multidisciplinary research program.
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