Recruitment and Retention of Health Care Personnel in Denmark

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Recruitment and Retention of Health Care
Personnel in Denmark
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Niels Ebbehøj

• Department of Occupational Medicine Bispebjerg
  HospitalUniversity of CopenhagenCopenhagenDenm
  ark

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Danish Demography

• 5 mill. people, 1 mill. elderly, i.e. gt65 years
• Population stable during the past 20 years
• Ann. birth rate decreased rapidly during 1970ties
• Changing proportion between generations
• Increasing number of elderly
• Fewer to take care of them

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100,000 Assist. Nurses etc.

• 10,000 3 months education, gt 50 years
• 20,000 12 months education, gt 50 years
• 35,000 12 months education, lt 40 years
• 25,000 18 months education, lt40 years
• 100,000 total

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Assistants 30 months Helpers 12 months
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Assistants 30 months Helpers 12 months
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Demography
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Health care helpers/assistants

• Population apx. 1oo.ooo
• Large group of 50 years waiting for an
  opportunity to retire
• Excess risk of
• MSD
• Ischemic Heart Disease
• Pulmonary diseases
• Lower extr. Varices
• Burnout, stress, etc

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They can expect

• 29 risk of early retirement due to illness
• 55 excess risk compared to similar groups
• High and extremely varying rates of sick leave
• Highest rate of reported occupational diseases
  and accidents

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LBP in students
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Lifetime prevalence of LBP
P0.04
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Never LBP
P0.03
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Medical Care for LBP
P0.005
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Staying at home for LBP
P0.01
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SF-36 Scales
0.001
0.03
0.02
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Any suggestions ?

• Physical training
• Fitness
• Quick reaction training
• Patient handling technique
• Monitor performance
• Mental training
• Fear avoidance
• Stress handling
• Networking

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Healthy BacksHealth care providers

• Intervention study at health care schools
• Including 400 interventions and 400 controls
• Effect evaluation by
• Questionnaire
• Physical tests
• Video of technique

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Follow up

• Rate of graduates
• Years in job
• Job satisfaction
• Rate of sick leave
• Reported accidents

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Physical trainingPedersen MT, Eur Spine J, 2004

• Addressing sudden incidents
• TheoryBack muscle reaction can be measured and
  improved by excercise
• The effect lasts gt 1 year
• The preventive effect is uncertain

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Mental training

• Fear avoidance and self-efficacy
• Stress handling and coping strategies
• Networking