期刊
HEALTH AFFAIRS
卷 38, 期 6, 页码 902-909出版社
PROJECT HOPE
DOI: 10.1377/hlthaff.2019.00021
关键词
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资金
- Gordon and Betty Moore Foundation [6939]
- Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS) [U81HP26494]
- HRSA
- Public Health Institute
- California Health Care Foundation
- National Institute on Drug Abuse
- Robert Wood Johnson Foundation
- National Institute for Dental and Craniofacial Research
- California Tobacco-Related Disease Research Program
- California Board of Registered Nursing
- Agency for Healthcare Research and Quality
- San Francisco Human Services Agency
- Gordon and Betty Moore Foundation
- George Washington University
- Massachusetts Health Policy Commission
- AARP
- UnitedHealth Group
- Health Management Associates
- IHS Markit
- Partners Healthcare
- HealthImpact
- Kaiser Foundation Health Plan
- Association of Women's Health Obstetrics and Neonatal Nurses
- Columbia University
- Sodexo USA
- Department of Housing and Urban Development (HUD)
- Service Employees International Union (SEIU) 775 Benefits Group
- Patient-Centered Outcomes Research Institute
- HHS Office of the Assistant Secretary for Planning and Evaluation
- Parker Home
- Retirement Research Foundation
- Blue Shield of California Foundation
- National Council State Boards of Nursing
- HUD
- New York Zen Center for Contemplative Care
- Moore Foundation project
Home health and personal care aides are one of the largest groups of health care workers in the US, with nearly three million people providing direct care for people with serious illness living in the community. These home care workers face challenges in recruitment, training, retention, and regulation, and there is a lack of data and research to support evidence-based policy change. Personal care aides receive little formal training, and they experience low pay and a lack of respect for the skill required for their jobs. High turnover and occupational injury rates are widely reported. There is little research on the factors associated with higher-quality home care, the extent to which worker training affects client outcomes, and how regulations affect access to and quality of home care. Health care leaders should seek to fill these gaps in knowledge, support the establishment of training standards and programs, implement Medicaid reimbursement strategies that incentivize improvements in pay and working conditions, reform regulations that now prevent the full utilization of home care workers, and create sustainable career pathways in home care policies.
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