个人护理助理:评估农村地区的自我护理需求和工作人员短缺。

Susan A Chapman, Lillie Greiman, Timothy Bates, Laura M Wagner, Ari Lissau, Kirsi Toivanen-Atilla, Rayna Sage
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引用次数: 4

摘要

先前的研究记录了提供医疗补助家庭和社区服务的个人护理助理的短缺,但很少有详细的地理数据来确定最需要的地区和评估全国个人护理助理的可用性。利用2013-17年美国社区调查和管理与预算办公室的数据,我们分析了美国成年人对个人护理助理服务的潜在需求和助手的供应。成人自我护理障碍比例最高的地区主要在南部,个人护理辅助服务的潜在需求与辅助供应之间的差距在南部各州最大。在各州内,在农村地区和大多数农村地区,每1000名有自我照顾能力的成年人的个人护理助理比农村地区少。工资和福利的增加、培训和职业机会的改善、国家医疗补助计划在有偿家庭护理方面的政策灵活性的提高、旅行激励和补偿、数据收集和政府对劳动力数据的跟踪的增加,都有助于增加美国农村地区个人护理助理的供应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Personal Care Aides: Assessing Self-Care Needs And Worker Shortages In Rural Areas.

Previous research has documented shortages of personal care aides who provide Medicaid home and community-based services, but there are few detailed geographic data to determine the areas of greatest need and assess the availability of personal care aides nationwide. Using 2013-17 data from the American Community Survey and the Office of Management and Budget, we analyzed potential need for personal care aide services among adults and the supply of aides across the US. Areas with the highest percentages of adults with self-care disability were mainly in the South, and the gap between the potential need for personal care aide services and the aide supply was greatest in southern states. Within states, there were fewer personal care aides per 1,000 adults with self-care disability in the more rural and most rural areas than in the least rural areas. Wage and benefit increases, improved training and career opportunities, increased flexibility in state Medicaid policies on paid family caregiving, incentives and compensation for travel, and increased data collection and government tracking of workforce data could help boost the supply of personal care aides in rural America.

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