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Idaho rural family physician workforce study: the Community Apgar Questionnaire
D F Schmitz1, E Baker, A Nukui
1Family Medicine Residency of Idaho, Boise, Idaho, USA. dave.schmitz@fmridaho.org
Rural and Remote Health
|July 28, 2011
Summary
Rural communities can assess physician recruitment and retention success using the Community Apgar Questionnaire. Higher scores on this tool indicate better community assets and capabilities for attracting and keeping physicians.
Area of Science:
- Rural Health
- Physician Workforce Development
- Community Health Assessment
Background:
- Community factors significantly influence physician workforce recruitment and retention.
- Effective assessment tools are crucial for understanding community assets and capabilities.
Purpose of the Study:
- To develop an evaluation instrument, the Community Apgar Questionnaire, for rural Idaho communities.
- To assess community assets and capabilities related to physician recruitment and retention.
Main Methods:
- A quantitative scoring interview instrument was developed through literature review, site visits, and expert consultations.
- 11 rural Idaho communities, differing in geography and recruitment success, were selected.
- Interviews were conducted with hospital administrators and physician recruiters in each community.
Main Results:
- 11 physicians and 11 CEOs participated.
- Communities with historically better recruitment and retention (alpha communities) scored higher on the Community Apgar Questionnaire.
- Differences in scores were observed across and within factor classes and respondent groups.
Conclusions:
- The Community Apgar Questionnaire effectively differentiates communities based on physician recruitment and retention trends.
- The tool aids in identifying modifiable and non-modifiable factors influencing workforce stability.
- It can guide resource allocation for communities facing recruitment and retention challenges.
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