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Recruitment and retention of general practitioners in rural Canada and Australia: a review of the literature.
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- Author(s): Viscomi, Marco; Larkins, Sarah; Sen Gupta, Tarun
- Source:
Canadian Journal of Rural Medicine (Joule Inc.); Winter2013, Vol. 18 Issue 1, p13-23, 11p, 11 Charts- Subject Terms:
- Source:
- Additional Information
- Subject Terms:
- Abstract: Introduction: Both Canada and Australia are facing severe shortages of primary health workers, and these shortages are exacerbated in rural and remote communities. This literature review highlights similarities and explores the factors that serve to attract and retain family practitioners in underserved regions of Canada and Australia. Methods: We used MEDLINE on OvidSP to review the literature between Jan. 1, 2000, and June 30, 2012. We excluded sources if the primary objective did not consider recruitment or retention of general practitioners. Results: We found a total of 114 sources, 28 of which were excluded, leaving 86 sources for review. We organized results according to 5 life stages of family physicians in rural practice and graded the literature according to the strength of the methodology and the relevance of the findings. We chronologically categorized Canadian and Australian literature that discussed recruitment and retention of family practitioners into rural practice. Conclusion: Various factors that pertain to each life stage of a family physician have been shown to positively correlate with the eventual decision to commence and remain practising in rural areas. Training programs should be better structured to attract candidates who are more likely to enter rural practice. Policy-makers should be mindful of these findings, because improvements in retention will deliver large financial savings. [ABSTRACT FROM AUTHOR]
- Abstract: Introduction : Le Canada et l’Australie font tous deux face à de graves pénuries de travailleursen soins de santé primaires, pénuries qui sont exacerbées dans les communautésrurales éloignées. La recension des écrits met en évidence des similitudes et explore lesfacteurs qui servent à attirer et à fidéliser des médecins de famille dans les régions maldesservies du Canada et de l’Australie.Méthodes : Nous avons utilisé MEDLINE sur OvidSP pour revoir les documents publiésentre le 1 janvier 2000 et le 30 juin 2012. Nous avons exclu les sources si leur objectif principalne tenait pas compte du recrutement et du maintien en poste d’omnipraticiens.Résultats : Nous avons trouvé au total 114 sources et nous en avons exclu 28, ce qui laissait86 sources à analyser. Nous avons organisé les résultats en fonction de 5 stades de lavie des médecins de famille en milieu rural et nous avons coté les documents en fonctionde la force de leur méthodologie et de la pertinence des constatations. Nous avons classépar ordre chronologique les communications canadiennes et australiennes où il était questionde recrutement et de maintien en poste de médecins de famille en pratique rurale.Conclusion : Il y a une association positive démontrée entre divers facteurs liés au stadede la vie des médecins de famille et la décision éventuelle de commencer à pratiquer enrégion rurale et d’y demeurer. Il faudrait mieux structurer les programmes de formationpour attirer des candidats plus susceptibles de se lancer en pratique rurale. Les stratègesdevraient tenir compte de ces constatations parce qu’une meilleure fidélisation desmédecins produira d’importantes réductions des dépenses. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Canadian Journal of Rural Medicine (Joule Inc.) is the property of CMA Impact Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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