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1、AddressingtheLong-TermCareWorkforceCrisisRobynI.StonewithJoshuaM.WienerTheUrbanInstituteCopyright©October2001.TheUrbanInstituteandtheAmericanAssociationofHomesandServicesfortheAging.Allrightsreserved.Exceptforshortquotes,nopartofthisbookmayberepro-ducedorutilizedinanyfo
2、rmorbyanymeans,electronicormechanical,includingphotocopying,recording,orbyinformationstorageorretrievalsystem,withoutwrittenpermissionfromtheUrbanInstituteandtheAmericanAssociationofHomesandServicesfortheAging.TheUrbanInstituteisanonprofit,nonpartisanpolicyresearchanded
3、ucationalorganizationthatexaminesthesocial,economic,andgovernanceproblemsfacingthenation.TheAmericanAssociationofHomesandServicesfortheAgingrepresents5,600not-for-profitproviderscommittedtoadvanc-ingahealthy,affordable,ethicallong-termcaresystemforAmerica.Financialsuppo
4、rtforthispaperwasprovidedbytheOfficeofDisability,Aging,andLong-TermCarePolicy,OfficeoftheAssistantSecretaryforPlanningandEvaluation,U.S.DepartmentofHealthandHumanServices,andbyTheRobertWoodJohnsonFoundation.Theviewsexpressedinthispaperarethoseoftheauthorsanddonotnecessa
5、rilyrepresentthoseoftheUrbanInstitute,itstrustees,oritsfunders;theAmericanAssociationofHomesandServicesfortheAging;theU.S.DepartmentofHealthandHumanServices;orTheRobertWoodJohnsonFoundation.ContentsINTRODUCTION2ExecutiveSummary3TheLong-TermCareFrontlineWorkforce3WhatIst
6、heProblem?3FactorsAffectingtheSupplyandQualityofWorkers4PublicandPrivateEffortstoDevelopaQualified,StableFrontlineWorkforce5INTRODUCTION8WhoWillCareforUs?AddressingtheLong-TermCareWorkforceCrisis9TheLong-TermCareFrontlineWorkforce10TheLong-TermCareWorkerProblem:Definiti
7、onandMagnitude12FactorsAffectingtheSupplyandQualityofFrontlineWorkers16HealthandLong-TermCarePolicy18PublicandPrivateEffortstoDevelopaQualified,StableFrontlineWorkforce25DevelopingPolicythroughaResearchandDemonstrationAgenda33References35ABOUTTHEAUTHORS39INTRODUCTIONThe
8、paraprofessionallong-termcareworkforce—nursingassistants,homehealthandhomecareaides,per-sonalcareworkers,andpe
