Who should receive recruitment and retention incentives? Improved targeting of rural doctors using medical workforce data
- 17 January 2012
- journal article
- Published by Wiley in Australian Journal of Rural Health
- Vol. 20 (1), 3-10
- https://doi.org/10.1111/j.1440-1584.2011.01252.x
Abstract
OBJECTIVE: The objective of this study was to define an improved classification for allocating incentives to support the recruitment and retention of doctors in rural Australia. DESIGN AND SETTING: Geo-coded data (n = 3636 general practitioners (GPs)) from the national Medicine in Australia: Balancing Employment and Life study were used to examine statistical variation in four professional indicators (total hours worked, public hospital work, on call after-hours and difficulty taking time off) and two non-professional indicators (partner employment and schooling opportunities) which are all known to be related to difficulties with recruitment and retention. MAIN OUTCOME MEASURES: The main outcome measure used for the study was an association of six sentinel indicators for GPs with practice location and population size of community. RESULTS: Four distinct homogeneous population size groups were identified (0-5000, 5001-15,000, 15,001-50,000 and >50,000). Although geographical remoteness (measured using the Australian Standard Geographical Classification-Remoteness Areas (ASGC-RA)) was statistically associated with all six indicators (P < 0.001), population size provided a more sensitive measure in directing where recruitment and retention incentives should be provided. A new six-level rurality classification is proposed, based on a combination of four population size groups and the five ASGC-RA levels. A significant increase in statistical association is measured in four of six indicators (and a slight increase in one indicator) using the new six-level classification versus the existing ASGC-RA classification. CONCLUSIONS: This new six-level geographical classification provides a better basis for equitable resource allocation of recruitment and retention incentives to doctors based on the attractiveness of non-metropolitan communities, both professionally and non-professionally, as places to work and live.Restricted Access: Metadata OnlKeywords
This publication has 16 references indexed in Scilit:
- Systematic review of effective retention incentives for health workers in rural and remote areas: Towards evidence‐based policyAustralian Journal of Rural Health, 2010
- The "Medicine in Australia: Balancing Employment and Life (MABEL)" longitudinal survey - Protocol and baseline data for a prospective cohort study of Australian doctors' workforce participationBMC Health Services Research, 2010
- Geographical classifications to guide rural health policy in AustraliaAustralia and New Zealand Health Policy, 2009
- Why doctors choose small towns: A developmental model of rural physician recruitment and retentionSocial Science & Medicine, 2009
- Financial incentives for return of service in underserved areas: a systematic reviewBMC Health Services Research, 2009
- Interventions for increasing the proportion of health professionals practising in rural and other underserved areasPublished by Wiley ,2009
- Populations at Special Health Risk: Rural PopulationsPublished by Elsevier BV ,2008
- Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforceHuman Resources for Health, 2006
- Australia's Health WorkforceSSRN Electronic Journal, 2005
- GETTING THE BALANCE RIGHT? GPS WHO CHOSE TO STAY IN RURAL PRACTICEAustralian Journal of Rural Health, 2003