Vision rehabilitation workforce in Italy: a country-level analysis.


Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
31 Oct 2024
Historique:
received: 07 11 2023
accepted: 16 10 2024
medline: 1 11 2024
pubmed: 1 11 2024
entrez: 1 11 2024
Statut: epublish

Résumé

Research and monitoring of human resources available for vision rehabilitation services has been a neglected area of work in the past. This study aims to offer an overview of the vision rehabilitation workforce available in Italy, in order to profile the distribution and number of human resources for vision rehabilitation. Data on the available vision rehabilitation professionals were collected from the yearly report on the state of implementation of policies relating to the prevention of blindness, education and vision rehabilitation, according to a law which was passed by the Italian Ministry of Health, Department of Health Prevention. The report presents a review of all professional workers dealing with low vision rehabilitation centers in Italy between January 2005 and December 2019. Data on the distribution and type of services of government-supported low vision centers across the country were also obtained and examined. Of the 289 low vision rehabilitation workers in 2019, 28% were ophthalmologists, 31% orthoptists, 19% psychologists, 17% nurses and 5% social workers. The health workforce densities across the Italian regions ranged from 1.62 to 0.12 per 100.000. The density of vision rehabilitation workers showed a no growing trend from 2006 to 2015. During the study period, it was found a weak but statistically significant association of workforce density with the number of government-supported low vision centers across the Italian territory (r A critical review has identified the following national situation: need-based shortages of workers in the vision rehabilitation service sector, as well as deficiencies in data sources. Based on our results, we would recommend increasing the development of human resources trained and dedicated to vision rehabilitation and improve data collection and analysis; provide structural enhancements, across all service levels. These considerations may contribute to the enhancement of policy decisions in order to guarantee an adequate vision rehabilitation workforce and meet national rehabilitation needs. Furthermore, this analysis should be used as a lesson learned by other countries, as low-income ones, in order to develop vision rehabilitation services.

Sections du résumé

BACKGROUND BACKGROUND
Research and monitoring of human resources available for vision rehabilitation services has been a neglected area of work in the past. This study aims to offer an overview of the vision rehabilitation workforce available in Italy, in order to profile the distribution and number of human resources for vision rehabilitation.
METHODS METHODS
Data on the available vision rehabilitation professionals were collected from the yearly report on the state of implementation of policies relating to the prevention of blindness, education and vision rehabilitation, according to a law which was passed by the Italian Ministry of Health, Department of Health Prevention. The report presents a review of all professional workers dealing with low vision rehabilitation centers in Italy between January 2005 and December 2019. Data on the distribution and type of services of government-supported low vision centers across the country were also obtained and examined.
RESULTS RESULTS
Of the 289 low vision rehabilitation workers in 2019, 28% were ophthalmologists, 31% orthoptists, 19% psychologists, 17% nurses and 5% social workers. The health workforce densities across the Italian regions ranged from 1.62 to 0.12 per 100.000. The density of vision rehabilitation workers showed a no growing trend from 2006 to 2015. During the study period, it was found a weak but statistically significant association of workforce density with the number of government-supported low vision centers across the Italian territory (r
DISCUSSION CONCLUSIONS
A critical review has identified the following national situation: need-based shortages of workers in the vision rehabilitation service sector, as well as deficiencies in data sources. Based on our results, we would recommend increasing the development of human resources trained and dedicated to vision rehabilitation and improve data collection and analysis; provide structural enhancements, across all service levels. These considerations may contribute to the enhancement of policy decisions in order to guarantee an adequate vision rehabilitation workforce and meet national rehabilitation needs. Furthermore, this analysis should be used as a lesson learned by other countries, as low-income ones, in order to develop vision rehabilitation services.

Identifiants

pubmed: 39482692
doi: 10.1186/s12913-024-11776-5
pii: 10.1186/s12913-024-11776-5
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1323

Informations de copyright

© 2024. The Author(s).

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Auteurs

Filippo Amore (F)

National Center of Services and Research for the Prevention of Blindness and Rehabilitation of the Visually Impaired, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli N° 8, Rome, 00168, Italy. f.amore@iapb.it.
International Agency for Prevention of Blindness, IAPB-Italia ETS, Rome, Italy. f.amore@iapb.it.

Valeria Silvestri (V)

National Center of Services and Research for the Prevention of Blindness and Rehabilitation of the Visually Impaired, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli N° 8, Rome, 00168, Italy.
International Agency for Prevention of Blindness, IAPB-Italia ETS, Rome, Italy.

Simona Turco (S)

National Center of Services and Research for the Prevention of Blindness and Rehabilitation of the Visually Impaired, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli N° 8, Rome, 00168, Italy.
International Agency for Prevention of Blindness, IAPB-Italia ETS, Rome, Italy.

Stefania Fortini (S)

National Center of Services and Research for the Prevention of Blindness and Rehabilitation of the Visually Impaired, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli N° 8, Rome, 00168, Italy.
International Agency for Prevention of Blindness, IAPB-Italia ETS, Rome, Italy.

Andrea Giudiceandrea (A)

UOC Oculistica, Fondazione Policlinico Universitario Agostino Gemelli-IRCCS and Università Cattolica del Sacro Cuore, Rome, Italy.

Filippo Cruciani (F)

International Agency for Prevention of Blindness, IAPB-Italia ETS, Rome, Italy.

Silvio Paolo Mariotti (SP)

World Health Organization (WHO), Geneva, Switzerland.

Debora Antonini (D)

Alta Scuola di Economia e Management dei Sistemi Sanitari (ALTEMS), Università Cattolica del Sacro Cuore, Rome, Italy.

Stanislao Rizzo (S)

UOC Oculistica, Fondazione Policlinico Universitario Agostino Gemelli-IRCCS and Università Cattolica del Sacro Cuore, Rome, Italy.

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