选择区域,农村和远程实践:什么吸引或阻止早期职业生涯的医生?
Sonia Minooee1, Susan Wright2, Torres Woolley2
1College of Medicine and Dentistry, James Cook University, Bebegu Yumba campus, Douglas, QLD, 4811, Australia. Sonia.minooee@jcu.edu.au.
了解农村医生的动机和障碍是解决澳大利亚医生短缺问题的关键. 亲近家庭和就业机会等因素影响了在区域,农村和偏远地区的初级医生培训地点的选择.
科学领域:
- 医疗劳动力规划 医疗劳动力规划
- 农村卫生政策 农村卫生政策
- 医生培训和留住医生
背景情况:
- 在区域,农村和偏远地区 (RRR) 留住医疗专业人员是一个复杂的挑战.
- 解决RRR环境中医生的上下文障碍对于基于证据的劳动力规划至关重要.
- 缓解澳大利亚农村医生短缺需要了解医生对培训地点的决定.
研究的目的:
- 探索初级医生选择RRR医院培训地点的动机.
- 确定初级医生在考虑RRR医院培训时面临的感知障碍.
- 为改进医疗专业人员在RRR领域的留守提供信息的策略.
主要方法:
- 一项定性研究,涉及与正在培训的医生进行虚拟一对一访谈.
- 在澳大利亚昆士兰州北部的四家医院和卫生服务 (HHS) 进行了采访.
- 使用感应方法对25个转录的采访进行主题分析.
主要成果:
- 参与RRR培训的动机包括亲近家庭,冒险,农村成长,同行推和激励.
- 地区医院被认为是理想的"正确尺寸"设置,提供广泛的专业.
- 障碍包括农村有限的就业机会,轮换挑战,社会隔离和生活成本.
结论:
- 确定了影响医生在RRR领域培训/工作的决定的关键引力和推力因素.
- 调查结果可以指导决策者和雇主进行投资,以积极影响医生的位置选择.
- 需要采用多方面的方法来支持家庭生活,农村接触和竞争性报酬.
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