Wagner James, Wagner Laura M, Zimmerman Sheryl, Hickey Johanna van Tyen Silbersack, Stewart Kate, Nelson Sandi, Qi Ji, Nishimura Raphael, Dworak Piotr, Hudson Margaret, Kelley Jennifer, Guyer Heidi, Pettit Amy R, Maust Donovan T, Spetz Joanne
Survey Research Center, University of Michigan, Ann Arbor, Michigan, USA.
Department of Community Health Systems, School of Nursing; Philip R. Lee Institute for Health Policy Studies; and Healthforce Center at UCSF, University of California, San Francisco, California, USA.
J Am Geriatr Soc. 2025 Sep 4. doi: 10.1111/jgs.70036.
The National Dementia Workforce Study was designed to improve our understanding of the individuals and systems who care for people with dementia, but designing and implementing such a study is challenging due to the large number of patient care organizations, clinical and direct care roles, and locations in which care is provided. Specifically, developing a probability sample of organizations and staff caring for people with dementia is a complex and difficult process. While there are national sampling frames available for federally certified nursing homes (i.e., via data from the Center for Medicare and Medicaid Services), there are no national sampling frames for assisted living communities or home care agencies. The latter frames must be developed through querying state-level regulatory agencies and through other, supplemental strategies such as working with professional organizations, large employers, and organizations that provide services (e.g., payroll services) to this sector. Further, since there are no national sampling frames that allow for direct sampling of staff working in any of these types of organizations, we opted for a two-stage design. In the first stage, organizations are identified, sampled, recruited to participate in an organizational-level survey, and asked to provide a roster of eligible staff. In the second stage, individual staff members are recruited for a staff-level survey. We describe the plan for sampling and recruitment procedures to be used in each stage and discuss limitations, including implications for coverage of the target population. Data collected through these surveys will be available to the research community.
全国痴呆症劳动力研究旨在增进我们对照顾痴呆症患者的个人和系统的了解,但由于涉及大量患者护理组织、临床和直接护理角色以及提供护理的地点,设计和实施这样一项研究具有挑战性。具体而言,针对照顾痴呆症患者的组织和工作人员制定概率样本是一个复杂且困难的过程。虽然有适用于联邦认证养老院的全国抽样框架(即通过医疗保险和医疗补助服务中心的数据),但辅助生活社区或家庭护理机构却没有全国抽样框架。后一种框架必须通过查询州级监管机构以及通过其他补充策略来制定,例如与专业组织、大型雇主以及向该领域提供服务(如薪资服务)的组织合作。此外,由于没有全国抽样框架允许直接对在这些类型组织中工作的人员进行抽样,我们选择了两阶段设计。在第一阶段,识别、抽样并招募组织参与组织层面的调查,并要求其提供符合条件的工作人员名单。在第二阶段,招募个体工作人员参与工作人员层面的调查。我们描述了每个阶段将使用的抽样和招募程序计划,并讨论了局限性,包括对目标人群覆盖范围的影响。通过这些调查收集的数据将提供给研究界。