2012-2022 年波兰医务人员--与人力资源分布有关的挑战

IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Annals of Agricultural and Environmental Medicine Pub Date : 2024-04-09 DOI:10.26444/aaem/186636
Krystian Małyszko, B. Pędziński, Dominik Maślach, Michalina Krzyżak, Ludmiła Marcinowicz
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引用次数: 0

摘要

导言和目标。如今,医务人员短缺是一个全球性的医疗保健问题。这导致不断增长的医疗需求得不到满足,工资压力不断增加。本研究旨在评估 2012-2022 年波兰医疗专业人员的就业趋势,尤其关注就业部门、就业形式、年龄、性别和地理分布。材料和方法。通过案头研究法,利用公共记录和文件进行了定量分析,以确定十年间的趋势。资料来源包括经济合作与发展组织数据库、中央统计局数据库和卫生部统计公报。研究结果所观察到的 2019 年后医生和护士比例的上升趋势主要是由于计算该指标的方法发生了变化。签约医疗专业人员的数量明显增加--护士增加了 303%,助产士增加了 312%,而受雇专业人员的数量则有所减少。在所有专业医疗群体中,住院和长期护理的签约者和受雇者人数都有所增加,而门诊护理的签约者和受雇者人数则有所减少。医务人员明显老龄化,65 岁以上助产士的比例从 5.7% 上升到 19.1%,65 岁以上护士的比例从 5.4% 上升到 22.3%。结论对医疗服务的需求增加了,但医务人员的供应却没有跟上需求的步伐。除了与增加人力资源数量有关的战略外,还应考虑如何更好地将资源与医疗保健部门相匹配,以及如何更好地进行区域分配。与技能组合概念和卫生部门接纳新职业有关的解决方案也可能是一个值得考虑的机会。
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Medical staff in Poland in 2012–2022 – challenges related to the distribution of human resources
Introduction and Objective. Today’s shortage of medical staff is a global healthcare issue. This leads to unfulfilled, growing health needs and rising wage pressure. The aim of the study is to evaluate employment trends among medical professionals in Poland from 2012–2022, paying particular attention to the employment sector, forms of employment, age, gender, and geographic distribution. Materials and Method. A quantitative analysis was carried out using public records and documents to identify trends over a decade, by the desk research method. Sources included: Organisation for Economic Co-operation and Development databases, Central Statistical Office databases and Ministry of Health Statistical Bulletins. Results. The observed increasing trend of physicians and nurses ratio after 2019, was caused mainly by a change in the methodology of calculating the indicator. There was a notable increase in the number of contracted medical professionals – 303% for nurses and 312% for midwives, and a decrease in the number of employed professionals. The number of contractors and employers in in-patient and long-term care has increased across all professional medical groups, while in outpatient care, the number has decreased. A definite ageing of medical staff was noted, with the percentage of midwives over 65 rising from 5.7% to 19.1%, and nurses over 65 rising from 5.4% to 22.3%. Conclusions. The demand for health services has increased, but the supply of medical staff has not kept pace with this demand. In addition to strategies related to increasing the number of human resources, solutions to better match resources to sectors of healthcare and better regional distribution should be considered. Solutions related to the skill-mix concept and the admission of new professions to the health sector may also be an opportunity for consideration.
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来源期刊
Annals of Agricultural and Environmental Medicine
Annals of Agricultural and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.00
自引率
5.90%
发文量
58
审稿时长
4-8 weeks
期刊介绍: All papers within the scope indicated by the following sections of the journal may be submitted: Biological agents posing occupational risk in agriculture, forestry, food industry and wood industry and diseases caused by these agents (zoonoses, allergic and immunotoxic diseases). Health effects of chemical pollutants in agricultural areas , including occupational and non-occupational effects of agricultural chemicals (pesticides, fertilizers) and effects of industrial disposal (heavy metals, sulphur, etc.) contaminating the atmosphere, soil and water. Exposure to physical hazards associated with the use of machinery in agriculture and forestry: noise, vibration, dust. Prevention of occupational diseases in agriculture, forestry, food industry and wood industry. Work-related accidents and injuries in agriculture, forestry, food industry and wood industry: incidence, causes, social aspects and prevention. State of the health of rural communities depending on various factors: social factors, accessibility of medical care, etc.
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