西开普省社区服务医生对公共,农村实践的选择的影响
Tamryn J Baytopp1, Vanessa Lomas-Marais, Ts'epo Motsohi
1Department of Family Medicine and Primary Care, Faculty of Health Science, Stellenbosch University, Cape Town. tbaytopp@yahoo.com.
很少有医生愿意在南非农村工作. 农村的成长,实习和社区服务增加了留下来的可能性. 个人安全,工作满意度和心理健康是关键因素.
科学领域:
- 卫生政策 卫生政策
- 农村卫生 农村卫生
- 医学教育 医学教育
背景情况:
- 南非农村地区的人员短缺造成了医疗保健的不平等.
- 社区服务计划旨在解决这种差异.
- 农村地区的医生保留对于计划的成功至关重要.
研究的目的:
- 确定影响西开普社区服务医生关于农村实践的决定的因素.
- 为改进农村医生保留率的战略提供信息.
主要方法:
- 一个观察性,横截面研究.
- 使用基于互联网的问卷进行相关性分析.
- 研究人口:西开普省的社区服务医生 (2022年).
主要成果:
- 86名医生参加;8%的医生计划在2023年从事农村实践,21%的医生认为这将是未来的做法.
- 农村教育 (6.5倍),农村实习 (7.7倍) 和农村社区服务 (3.5倍) 显著预测了农村实践意图.
- 个人安全,工作满意度和心理健康是关键因素.
结论:
- 愿意在农村执业的医生比例仍然很低.
- 政策应优先考虑农村背景的学生和农村实习.
- 创造安全,令人满意的工作环境,支持心理健康,对于留住员工至关重要.
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