scholarly journals ‘It’s mostly about the job’ – putting the lens on specialist rural retention

2020 ◽  
Author(s):  
Penny Allen ◽  
Jenny May ◽  
Robert Pegram ◽  
Lizzie Shires
Keyword(s):  
Rural Retention

scholarly journals Understanding Health Workers’ Job Preferences to Improve Rural Retention in Timor-Leste: Findings from a Discrete Choice Experiment

PLoS ONE ◽  
2016 ◽  
Vol 11 (11) ◽  
pp. e0165940 ◽  
Author(s):  
Marc-Francois Smitz ◽  
Sophie Witter ◽  
Christophe Lemiere ◽  
Patrick Hoang-Vu Eozenou ◽  
Tomas Lievens ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Health Workers ◽  
Job Preferences ◽  
Timor Leste ◽  
Rural Retention

scholarly journals Survival analysis of Rural Clinical School of Western Australia graduates: the long-term work of building a long-term rural medical workforce

2019 ◽  
Author(s):  
Surabhi Gupta ◽  
Hanh Ngo ◽  
Tessa Burkitt ◽  
Ian Puddey ◽  
Denese Playford
Keyword(s):  
Repeated Measures ◽  
Vocational Training ◽  
School Intervention ◽  
Rural Practice ◽  
Survival Models ◽  
Medical Workforce ◽  
Significant Difference ◽  
Rural Retention ◽  
Rural Work

Abstract Abstract Objective –Deficits in the size of the rural medical workforce is an international issue. In Australia, The Rural Clinical School intervention is effective for initial recruitment of rural doctors. However, the extent of retention is not yet established. This paper summarises rural retention over a 10-year period. Methods –Rural Clinical School graduates of STATE NAME were surveyed annually, 2006-2015, and post Graduate Years (PGY) 3-12 included. Survival was described as “tours of service”, where a tour was either a period of ≥1 year, or a period of at ≥2 weeks, working rurally. A tour ended with a rural work gap of ≥52 weeks. Considering each exit from urban as an event, semi-parametric repeated measures survival models were fitted. Results – Of 468 graduates, using the ≥2 weeks definition, 239 PGY3-12 graduates spent at least one tour rurally (average 61.1, CI 52.5 – 69.7 weeks), and a total length of 14,607 weeks. Based on the tour definition of ≥1 year, 120 graduates completed at least one tour (average 1.89, 1.69 – 2.10 years), and a total of 227 years’ rural work. For both definitions, the number of tours increased from one to four by PGY10/11, giving 17,786 total weeks (342 years) across all PGYs for the ≥2 weeks tour definition, and 256 years total for ≥1 year. Significantly more graduates exited from urban work for the 2007-09 middle cohort compared with 2010-11 (HR 1.876, p=0.022), but no significant difference between 2002-06 and 2010-11. Rural origin, age and gender were not statistically significant. Conclusions – PGY3 – 12 RCS graduates contributed substantially to the rural workforce: 51% did so by short rotations, which have not previously been described, while 26% contributed whole years of service. There was an apparent peak in entry and retention for the middle cohort and decline thereafter, likely attributable to lack of rural advanced/specialist vocational training. These data indicate a real commitment to rural practice by RCS graduates, and the need for rural postgraduate vocational training in the rural context as a key element of a successful rural retention strategy.

scholarly journals Addressing health workforce distribution concerns: a discrete choice experiment to develop rural retention strategies in Cameroon

2015 ◽  
Vol 4 (3) ◽  
pp. 169-180 ◽  
Author(s):  
Paul Jacob Robyn ◽  
Zubin Shroff ◽  
Omer Ramses Zang ◽  
Samuel Kingue ◽  
Sebastien Djienouassi ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Health Workforce ◽  
Choice Experiment ◽  
Retention Strategies ◽  
Rural Retention

Physician perceptions of the effect of telemedicine on rural retention and recruitment

2004 ◽  
Vol 10 (2) ◽  
pp. 89-93 ◽  
Author(s):  
Joan Sargeant ◽  
Michael Allen ◽  
Donald Langille
Keyword(s):  
Physician Perceptions ◽  
Rural Retention

scholarly journals Survival analysis of Rural Clinical School of Western Australia graduates: the long-term work of building a long-term rural medical workforce

2019 ◽  
Author(s):  
Surabhi Gupta ◽  
Hanh Ngo ◽  
Tessa Burkitt ◽  
Ian Puddey ◽  
Denese Playford
Keyword(s):  
Repeated Measures ◽  
Vocational Training ◽  
School Intervention ◽  
Rural Practice ◽  
Survival Models ◽  
Medical Workforce ◽  
Significant Difference ◽  
Rural Retention ◽  
Rural Work

Abstract Abstract Objective –Deficits in the size of the rural medical workforce is an international issue. In Australia, The Rural Clinical School intervention is effective for initial recruitment of rural doctors. However, the extent of retention is not yet established. This paper summarises rural retention over a 10-year period. Methods –Rural Clinical School graduates of STATE NAME were surveyed annually, 2006-2015, and post Graduate Years (PGY) 3-12 included. Survival was described as “tours of service”, where a tour was either a period of ≥1 year, or a period of at ≥2 weeks, working rurally. A tour ended with a rural work gap of ≥52 weeks. Considering each exit from urban as an event, semi-parametric repeated measures survival models were fitted. Results – Of 468 graduates, using the ≥2 weeks definition, 239 PGY3-12 graduates spent at least one tour rurally (average 61.1, CI 52.5 – 69.7 weeks), and a total length of 14,607 weeks. Based on the tour definition of ≥1 year, 120 graduates completed at least one tour (average 1.89, 1.69 – 2.10 years), and a total of 227 years’ rural work. For both definitions, the number of tours increased from one to four by PGY10/11, giving 17,786 total weeks (342 years) across all PGYs for the ≥2 weeks tour definition, and 256 years total for ≥1 year. Significantly more graduates exited from urban work for the 2007-09 middle cohort compared with 2010-11 (HR 1.876, p=0.022), but no significant difference between 2002-06 and 2010-11. Rural origin, age and gender were not statistically significant. Conclusions – PGY3 – 12 RCS graduates contributed substantially to the rural workforce: 51% did so by short rotations, which have not previously been described, while 26% contributed whole years of service. There was an apparent peak in entry and retention for the middle cohort and decline thereafter, likely attributable to lack of rural advanced/specialist vocational training. These data indicate a real commitment to rural practice by RCS graduates, and the need for rural postgraduate vocational training in the rural context as a key element of a successful rural retention strategy.

scholarly journals Understanding Health Workers' Job Preferences to Improve Rural Retention in Timor-Leste: Findings from a Discrete Choice Experiment

10.1596/31378 ◽  
2016 ◽  
Author(s):  
Marc-Francois Smitz ◽  
Sophie Witter ◽  
Christophe Lemiere ◽  
Patrick Hoang-Vu Eozenou ◽  
Tomas Lievens ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Health Workers ◽  
Job Preferences ◽  
Timor Leste ◽  
Rural Retention

scholarly journals Interventions for health workforce retention in rural and remote areas: a systematic review

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Deborah Russell ◽  
Supriya Mathew ◽  
Michelle Fitts ◽  
Zania Liddle ◽  
Lorna Murakami-Gold ◽  
...  
Keyword(s):  
Health Professionals ◽  
Rural Areas ◽  
Health Workers ◽  
Rural And Remote ◽  
Remote Areas ◽  
Rural And Remote Areas ◽  
Rural Retention ◽  
Workforce Retention ◽  
Study Designs ◽  
Rural Training

Abstract Background Attracting and retaining sufficient health workers to provide adequate services for residents of rural and remote areas has global significance. High income countries (HICs) face challenges in staffing rural areas, which are often perceived by health workers as less attractive workplaces. The objective of this review was to examine the quantifiable associations between interventions to retain health workers in rural and remote areas of HICs, and workforce retention. Methods The review considers studies of rural or remote health workers in HICs where participants have experienced interventions, support measures or incentive programs intended to increase retention. Experimental, quasi-experimental and observational study designs including cohort, case–control, cross-sectional and case series studies published since 2010 were eligible for inclusion. The Joanna Briggs Institute methodology for reviews of risk and aetiology was used. Databases searched included MEDLINE (OVID), CINAHL (EBSCO), Embase, Web of Science and Informit. Results Of 2649 identified articles, 34 were included, with a total of 58,188 participants. All study designs were observational, limiting certainty of findings. Evidence relating to the retention of non-medical health professionals was scant. There is growing evidence that preferential selection of students who grew up in a rural area is associated with increased rural retention. Undertaking substantial lengths of rural training during basic university training or during post-graduate training were each associated with higher rural retention, as was supporting existing rural health professionals to extend their skills or upgrade their qualifications. Regulatory interventions requiring return-of-service (ROS) in a rural area in exchange for visa waivers, access to professional licenses or provider numbers were associated with comparatively low rural retention, especially once the ROS period was complete. Rural retention was higher if ROS was in exchange for loan repayments. Conclusion Educational interventions such as preferential selection of rural students and distributed training in rural areas are associated with increased rural retention of health professionals. Strongly coercive interventions are associated with comparatively lower rural retention than interventions that involve less coercion. Policy makers seeking rural retention in the medium and longer term would be prudent to strengthen rural training pathways and limit the use of strongly coercive interventions.

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