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Keynote Jane Lipscomb

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Health & Medicine Policy Research Group
Health & Medicine Policy Research Group

Presented at the Older HealthCare Workers Conference co-hosted by Health & Medicine Policy Research Group and the Great Lakes Centers for Occupational and Environmental Safety and Health (University of Illinois at Chicago, School of Public Health)

Health & MedicineBusiness
1 of 27
Older Healthcare Workers: Addressing Health & Safety Challenges on the Job Jane Lipscomb Work and Health Research Center
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object]
Workshop Topics ,[object Object],[object Object],[object Object],[object Object],[object Object]
“ Normal” Aging ,[object Object],[object Object],[object Object],[object Object],[object Object]
What we known about aging &work ,[object Object],[object Object],[object Object]
Incidence rates for injury/illness with source of injury: health care patient ( BLS, 2007) Age of worker Rate per 10,000 FTE
                                                                            FIGURE 1-1 Schematic view of the impact of early and late environmental exposure on elder health outcomes. (NAS 2004, Health and Safety Needs of Older Workers)
The Direct Care Workforce ,[object Object],[object Object],[object Object],[object Object],[object Object]
DIRECT CARE WORKERS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Demands on aging DCW population ,[object Object],[object Object],[object Object]
Why we need to protect this workforce ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multiple safety challenges..
Incidence Rates of Nonfatal Occupational Injuries HCSA sector and private industry, 2003-2006
DCW risk factors for work related injury/illness at any age? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Personal Care Assistants Survey ,[object Object],[object Object],[object Object],[object Object]
Personal Care Assistants (IL) (n=767) Age <50 (471) N(%) Age >=50 (296) N(%) African Am race 344 (75.8) 239 (83.3)* Education <HS 73 (22.7) 63 (32.1) Self-rated health excellent 125 (26.9) 54 (18.5)* Client support (always) 205 (44.9) 164 (59.2)*
IL PCAs (cont.) (n=767) Age <50 (471) N(%) Age >=50 (296) N(%) > 5 yrs in home care 205 (44.5) 194 (69.0)* >5 yrs with employer 78 (18.7) 102 (43.6)* Longest client care for > 5 yrs 50 (10.8) 80 (28.4)*
Other Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other findings: PCAs 50 years or older ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Impressions… ,[object Object],[object Object],[object Object],[object Object]
Application of health care worker protections to DCWs: a case study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Life Course Perspective (IOM, 2004) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Strategies to meet the needs of aging workers (Silverstein, AJIM 2008) ,[object Object],[object Object],[object Object],[object Object]
Research Gaps and Summary: “Healthy Aging for Workers” Health Care Workgroup (2/2009) ,[object Object],[object Object],[object Object]
The cost of inaction? ,[object Object],[object Object]
Acknowledgements: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
For more information: [email_address] www.directcarealliance.org

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