紧急医疗服务提供者的社会需求和社会风险的普遍性。

JEMS exclusives Pub Date : 2023-01-01 Epub Date: 2023-10-23
James Basting, John Wong, Daniel Berger, Catherine Caldwell, Satvir Saggi, Jessica Mann
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引用次数: 0

摘要

背景:全国紧急医疗服务(EMS)提供人员短缺是该行业面临的一个关键问题,在 COVID-19 大流行期间,这一问题更加严重。研究人员发现了可能的原因,包括艰苦的工作环境、低工资和职业倦怠。然而,急救医疗人员的社会需求和社会风险对他们的影响还有待深入探讨:分析了 1,112 名响应 2021 年全国 "院前环境中的社会需求(SNIPS)研究 "的急救医疗服务提供者的人口统计学数据,以得出描述性统计数字,并使用卡方检验法检验社会需求的差异:急救医疗服务提供者报告称,在他们的急救医疗服务职业生涯中经历过住房不安全(23.0%)、食品不安全(27.4%)、药物使用挣扎(20.9%)、心理健康问题(41.5%)、家庭暴力(18.5%)和医疗负担能力问题(30.8%)。近 90% 的研究参与者的职业倦怠筛查结果呈阳性。女性和急救医疗技术人员(EMTs)分别比男性和辅助医务人员更有可能在其职业生涯的某个阶段遭受食物和住房不安全、心理健康问题和家庭暴力的困扰:讨论:急救医疗服务提供者报告了高度的职业倦怠以及各种社会需求。社会需求可能需要加班工作,从而增加职业倦怠的风险,对提供者的福祉产生负面影响,并导致提供者短缺。辅助医务人员培训的入学障碍和晋升率方面的性别差异可能会分别加剧急救医生和女性医疗服务提供者所经历的差异:由于职业倦怠程度高、人员短缺以及急救医疗专业人员离职,必须采取更多措施为急救医疗服务提供者提供支持。这包括为急救医疗服务提供者提供入职和晋升便利的计划、不依赖加班费维持生计的能力以及心理健康支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Social Needs & Social Risks Among EMS Providers.

Background: A national shortage of Emergency Medical Service (EMS) providers is a critical issue for the profession that has only worsened during the COVID-19 pandemic. Researchers have identified possible causes, including difficult workplace conditions, low wages, and burnout. However, the impact of EMS providers' social needs and social risks has yet to be thoroughly explored.

Methods: Demographic data for 1,112 EMS providers who responded to the 2021 national Social Needs in the Pre-hospital Setting (SNIPS) Study were analyzed to produce descriptive statistics and test for differences in social needs using chi square tests.

Results: EMS providers reported experiencing housing insecurity (23.0%), food insecurity (27.4%), struggles with substance use (20.9%), mental health concerns (41.5%), domestic violence (18.5%), and healthcare affordability concerns (30.8%) during their EMS career. Almost 90% of study participants screened positive for burnout. Both women and emergency medical technicians (EMTs) were more likely than men and paramedics respectively to suffer from food and housing insecurity, mental health issues, and domestic violence at some point in their careers.

Discussion: EMS providers reported high levels of burnout as well as a variety of social needs. Social needs may necessitate overtime work, increasing risk of burnout and negatively impacting providers' well-being and contributing to the provider shortage. Barriers to entry for paramedic training and gender differences in promotion rates may exacerbate the disparities experienced by EMTs and female providers, respectively.

Conclusion: With high levels of burnout, staffing shortages, and EMS professionals leaving the profession, more must be done to support EMS providers. This includes programs to facilitate entry to and advancement within the EMS profession, ability to make ends meet without reliance on overtime pay, and mental health support.

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