Category Archives: Jobs
More than half of the 50 jobs projected to be the nation's fastest-growing occupations over the next several years are in the health care industry, according to a new report from the human resources company CareerBuilder and its research affiliate, Economic Modeling Specialists International.
Among the 26 health care jobs in the top 50, the ones with growth rates of 15 percent or greater include biomedical engineers, personal care and home health aides, physical therapy and occupational therapy assistants, physical therapy aides, diagnostic medical sonographers, and medical scientists (except epidemiologists).
The health care sector has created 166,800 new jobs so far this year, according to data from the Bureau of Labor Statistics—but that’s down from the 266,400 new jobs created in the first nine months of 2012. The sector created 6,800 jobs this September, compared with 36,600 in September of last year.
Experts note that these numbers have yet to reflect any slowing demand for physicians and other clinicians.
With health reform taking effect, consolidations and other changes in the health care industry, “what you are seeing is simple action-reaction,” Travis Singleton, senior vice president at the health care staffing firm Merritt Hawkins & Associates, told Health Leaders Media. “[A]nytime you have mass change to an industry you are going to get a reaction.” Singleton says that Merritt Hawkins saw a 14 percent increase in its physician and advanced practice recruiting assignments from 2012 to 2013, and he expects recruitment and hiring to continue to increase, especially in nursing.
Three years ago this week, the Institute of Medicine issued a landmark report, Future of Nursing: Leading Change, Advancing Health. Its recommendations include increasing the proportion of nurses with baccalaureate degrees to 80 percent by 2020. Charleen Tachibana, MN, RN, FAAN, is senior vice president, hospital administrator, and chief nursing officer at Virginia Mason Medical Center in Seattle, Washington. Tachibana is a Robert Wood Johnson Foundation Executive Nurse Fellow (2009 – 2012).
Virginia Mason Medical Center began a bachelor of science in nursing (BSN)-only hiring guideline in the summer of 2012. The change in hiring guidelines for our staff followed a decade of having educational guidelines in place for our nurse leaders. This was a critical step in our success, as our leaders were able to support and understand the need for this change. It’s important for leaders to model lifelong learning, including advancement with formal education. So, last August I also began my Doctor of Nursing Practice (DNP) program.
The publication of the Institute of Medicine (IOM) report on the Future of Nursing really provided the momentum to move to another level. The prominence of this report has made this a relatively easy transition and provided the clarity on why this is critical for our patients and for our profession at this point in time.
Although we have focused this requirement on new hires, it’s been impressive to see the wave of staff RNs returning to school, many for their master’s or doctorate degrees.
The growth of the health care industry—which far outpaced growth in other sectors of the economy over the last decade—helped fuel the nation’s economy recovery, according to a report released last month by the Brookings Institution.
Health care has added 2.6 million jobs nationwide over the last decade, and its employment growth rate (22.7%) significantly outpaced the 2.1 percent growth rate in all other industries.
In the nation’s 100 largest metropolitan areas, health care represents a higher share of jobs today than before the recession struck (2007-2009), the report finds. Thirteen percent of total job growth in those metropolitan areas during the economic recovery can be attributed to health care.
Today, health care accounts for more than one in every 10 jobs in the 100 largest metro areas, ranging from 7 to 20 percent of total employment.
Health care employment accounted for 10.74 percent of total employment in the United States in March, according to a report by the Altarum Institute. One out of every nine jobs was in the health care sector—an all-time high, the report says.
Bureau of Labor Statistics (BLS) March 2013 employment data show that health care employment rose by 23,000 jobs in March, and most were in ambulatory care. Health care has added 1.4 million jobs since the start of the recession in December 2007, the report says, while non-health employment has fallen.
The Altarum Institute is a nonprofit health systems research and consulting organization.
Dentists and nurses are the occupations that will offer the best employment opportunity, salary, work-life balance, and job security in 2013, according to an annual ranking released by U.S. News & World Report. Other health care jobs also made the top tier, including physicians at number five, out of 100 occupations listed.
The dental profession should grow 21.1 percent by 2020, the piece says, and physicians will see “abundant job growth” in that same period. Nurses will also be in greater demand as the population ages, but the rankings note that nurses “will almost always have great hiring opportunity” because of the expanse of the profession.
U.S. News gives each profession is given an overall score calculated from seven component measures: 10-year growth volume, 10-year growth percentage, median salary, employment rate, future job prospects, stress level, and work-life balance.
A report from the consulting firm Accenture finds a significant drop in physicians who practice independently, from 57 percent in 2000 to 39 percent in 2012. Business costs and expenses were the top concerns influencing physicians’ decision to seek employment (cited by 87 percent of survey respondents).
For those who remain independent, alternative business models are becoming more common. Accenture estimates that one-third of independent physicians will adopt subscription-based care models, like high-end concierge medicine and direct pay models.
“Doctors who convert to subscription-based models that shift the focus away from service volume will not only access greater financial rewards, but will also gain the flexibility to get back to the basics of patient care,” the report says. “Patients could also reap the rewards by gaining enhanced access to care at a service level they can afford.”
Accenture estimates that only 36 percent of physicians will be practicing independently by the end of 2013. The survey of 204 physicians who represented an equal split of primary care and specialty physicians was conducted in May.
Sarah Burgard, PhD, MS, MA, is an alumna of the RWJF Health & Society Scholars program, and an associate professor of sociology and epidemiology and research associate professor at the Population Studies Center at the University of Michigan. Burgard recently co-authored a study that finds perceived job insecurity is linked with significantly higher odds of fair or poor self-reported health, symptoms of depression, and anxiety attacks.
Human Capital Blog: What got you interested in researching the working lives and health outcomes of adults? Was there anything in particular that sparked your curiosity about job insecurity?
Sarah Burgard: I was interested in the excellent research being done by health disparities researchers that focused on socioeconomic position and its strong and persistent relationship with health. My dissertation looked at race and socioeconomic position and how they shaped children's health in different societies. When I started looking at the lives of adults in wealthy economies and focusing on health disparities in these groups, it struck me that most scholars were focused on education and income as stratifying factors, but not looking deeply at what connected them: paid employment.
Careers characterized by stimulating and satisfying work versus dangerous, monotonous or insecure work are of considerable interest in their own right to sociologists of stratification, but they could also be important for understanding divergence in health, as considerable research in occupational psychology and epidemiology has suggested. Many of the projects I've done have been aimed at bringing together the strong work in each of these fields to build even stronger explanations of the way work (or lack of work) influence health. I've been interested in less explored aspects of work, such as perceptions of job insecurity among those still employed, and in taking better account of the multitude of psychosocial aspects of work that affect individuals at a given point in time and the ways these could change over the career.
Data from the Bureau of Labor Statistics shows that health care employment rose by 44,000 jobs in September.
Most of the gains were in ambulatory care services (+30,000 jobs), with much of the growth in outpatient care centers. Hospitals added 8,000 jobs, and nursing and residential care added 6,000 jobs. Over the past year, employment in health care has risen by 295,000 jobs.
September’s gains are the second largest for the health care industry in a decade, according to a brief from the Altarum Institute, and the strong showing drove the health sector share of total employment to a new high of 10.81 percent.
The United States health care workforce will have to expand by almost 30 percent between 2010 and 2020 to meet growing demand for care, according to a new study from Georgetown University’s Center on Education and Workforce. The estimated 5.6 million health care job vacancies created over the next ten years is expected to be the most dramatic growth in any job sector in the country during that time period.
“Nursing will grow the fastest among healthcare occupations… but that won’t be enough to meet the demand,” the study says. Demand for health care “support occupations,” like home health aides, is also expected to increase at a rapid rate.
The study also predicts that demand for post-secondary education and training in health care jobs—which is already high—will continue to increase.