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A scoping review investigating the economic evidence to support the development of career pathways for home support workers.
  • Lynch M,
  • Morrow E
Lynch M
Royal College of Surgeons in Ireland

Corresponding Author:[email protected]

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Morrow E
Royal College of Surgeons in Ireland
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Abstract

Objectives: The ever-growing demands on care systems have increased the reliance on Home Care Support Worker’s (HCSW’s) which has seen a shift to provision of care to community based and close to home care provision. Currently there is no clear outline of a career pathway nor career development for HCSW’s, and this lack of associated framework which recognises CPD for career progression is impacting on recruiting and retaining HCSW’s within the care sector. The aim of this scoping review is to explore the international evidence to identify the potential costs/outcomes of the development of a career pathway for HCSW, and the economic benefits connected with continual professional development (CPD). The rational for taking this approach is that the evidence to date is limited, regarding the effectiveness of systems or frameworks for a career pathway for HCSW’s and value for money. Methods: A scoping review was conducted of peer-reviewed international literature using structured searches of electronic databases (Web of Science, PubMed, MEDLINE, EMBASE, CINAHL, PsycINFO, Social Care Online, and Social Sciences Citation Index) and grey literature (Sept-Nov 2023) using key economic terms and methodologies to capture economic evidence and connected costs with HCSW career development and CPD activities. Results: Article screening of titles, abstracts and full texts was conducted by two independent reviewers (EM, ML) to minimise bias and ensure rigour along with applying a GRADE approach for literature quality. The search strategy identified peer reviewed literature which included economic issues associated with CPD and HCSW career development. Following, 17 papers were critically appraised and during the process of data extraction four key themes emerged: (1) Cost-benefits of employment and training (2) Organisational economic perspectives (3) Service economic perspectives and (4) Sector economic perspectives. Discussion: The inclusion of economic evidence within this scoping review identified that there is very limited evidence associated with economic evaluation approaches to estimate the costs and benefits of CPD and development of a career pathway for HCSW. The scoping review did identify the gaps in the evidence on the assessments of systems or frameworks for HCSW’s career pathways development and CPD opportunities. Recommendations are that future research examining this topic should include Cost Benefit Analysis (CBA) to build evidence to support CPD activity and a career pathway development for HCSWs.
10 Oct 2024Submitted to International Journal of Health Planning and Management
16 Oct 2024Submission Checks Completed
16 Oct 2024Assigned to Editor
16 Oct 2024Review(s) Completed, Editorial Evaluation Pending
19 Oct 2024Reviewer(s) Assigned
31 Oct 2024Editorial Decision: Revise Major
20 Nov 20241st Revision Received
20 Nov 2024Review(s) Completed, Editorial Evaluation Pending
20 Nov 2024Submission Checks Completed
20 Nov 2024Assigned to Editor
21 Nov 2024Reviewer(s) Assigned
21 Nov 2024Reviewer(s) Assigned