chapter the health care workforce copyright © 2010 delmar, cengage learning. all rights reserved....
TRANSCRIPT
CHAPTER
The Health CareThe Health Care
WorkforceWorkforce
Copyright © 2010 Delmar, Cengage Learning. All Rights Reserved.
Stephen N. Collier, PhD
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Changes in Health Care Changes in Health Care WorkforceWorkforce
Aging and becoming more diverseBaby boomers retiringShortagesGrowth in health care workforceIncrease in medical assistants
Additional information:http://bhpr.hrsa.gov/healthworkforce/
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Economy and Health CareEconomy and Health Care
Primary job growth area for U.S. economy13/30 fastest-growing occupationsStates aware of importance of a health care workforceCannot be moved offshoreMultiplier effect on local economy
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Health Care WorkforceHealth Care Workforce
Cyclical supply and demandImbalance causes problemsCurrent shortage may not be cyclicalEmployers want an oversupplyEducators want excess applicants
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Physician WorkforcePhysician Workforce
ShortageAMA 30% increase in enrollment by 2015Demand growing as population agesAllopathic increasing number of gradsOsteopathic opening more schools
Picture source: http://kesehatan.kompasiana.com/medis/2010/08/10/medical-doctorthe-dangerous-profession/
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Nursing WorkforceNursing Workforce
Long-term shortageRNs have an increasing average ageRetirement will increase shortageInternational nurses filling gapsLimited ability of U.S. educational system
Additional information:http://bhpr.hrsa.gov/healthworkforce/rnsurvey/2008/
Picture source: http://www.edupics.com/image-nurse-i10369.html
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Workforce EducationWorkforce Education
Educational system slow to respond to workforce changes
Accreditation
Reimbursement changes cause changes in workforce demand
Demand for therapists after BBA of 1997
Large gap between demand and capacity of programs for most health professionsPicture source: http://www.who.int/topics/education_medical/en/
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Workforce RegulationWorkforce Regulation
Voluntary, self-imposed, governmentalMostly governmental at state levelTo provide protection to the publicLicensureCertificationAccreditation
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Workforce GenderWorkforce Gender
Majority are womenShift
Additional information: http://www.who.int/hrh/documents/gender/en/index.html
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Workforce TrainingWorkforce Training
BimodalMore at lower and higher levelsProfessions increasing educational level
Occupational and physical therapyBachelor’s to doctoral“Degree creep”
Increasing centralization of functions
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Workforce TrainingWorkforce Training
“Degree Creep”Increasing degree levelsExpanding knowledgeAdvanced technologyAdditional expense for studentsStaffing more expensive
Additional information:http://www.hrsa.gov/about/pdf/bhpr.pdf
Picture source: http://www.prevention.com/health/health/healthy-living/use-your-nurse-practitioner/article/20c9ac2175d69110VgnVCM10000013281eac____
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Frontline WorkforceFrontline Workforce
Patient contactBachelor’s or lower
<$40,000 annually
Mostly womenHigh stress, low wageHigh turnover
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Workforce ShortagesWorkforce Shortages
Reasons for shortages:Education sectorEmployment characteristics Work settingProfessional organizationsCredentialing mechanismsPayer policies
Additional information:http://bhpr.hrsa.gov/about/default.htm
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Additional ResourcesAdditional Resources
World Health Organization – Health Workforcehttp://www.who.int/hrh/resources/en/index.html
Global Health Workforce Alliancehttp://www.who.int/workforcealliance/about/en/
World Health Organization - Human Resources for Health online journalhttp://www.human-resources-health.com/
U.S. Department of Health and Human Serviceshttp://bhpr.hrsa.gov/healthworkforce/http://datawarehouse.hrsa.gov/hpsadetail.aspx#anchorhttp://arf.hrsa.gov/
Public Health Service Act - Title 42 "The Public Health and Welfare", Chapter 6A "Public Health Service“http://www.law.cornell.edu/uscode/html/uscode42/usc_sup_01_42_10_6A.html