Compulsory medical service in Ecuador: the physician's perspective

Cavender, Anthony; Albán, Manuel

doi:10.1016/s0277-9536(98)00335-9

Cited by 41 publications

(48 citation statements)

References 3 publications

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“…Studies in Ecuador (65) and South Africa (66) reveal that although physicians raised serious complaints over the management of their compulsory service scheme, they did feel that the experience improved their competencies and had been rewarding overall. In some countries, remote and rural areas are reliant upon graduates who are complying with their compulsory service obligations.…”

Section: Summary Of the Evidencementioning

confidence: 99%

Geographical mobility of general practitioners in rural Australia

McGrail

Humphreys

2015

Medical Journal of Australia

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Objective: To describe the geographical mobility of general practitioners in Australia, both within rural areas and between rural and metropolitan areas. Design and participants: Annual panel survey of GPs between 2008 and 2012. Main outcome measures: Work location, categorised by a typology based on geographical location and community size; frequency of mobility (change of location category); and characteristics of those who moved. Results: There were 3906 participants in 2008 (representative cohort, 19% of Australia's GP workforce) and 3502, 3514, 3287 and 3361 in subsequent years. 1810 GPs participated in all 5 years, and 10 900 origin–destination pairs were observed after removing GP registrars from the dataset. A total of 133 GPs moved from rural to metropolitan locations, 103 moved from metropolitan to rural locations, and 271 observed location changes were within rural areas. Annual location retention rates were 95% in regional centres, 90% in small rural towns and 82% in very remote areas. GPs in small towns of < 5000 residents had the highest risk of leaving rural practice. Mobility rates were significantly higher for GPs who had worked in a location for under 3 years and those working as either contracted or salaried employees, and somewhat higher for international medical graduates. Younger age was a small predictor of increased mobility, while sex and family status had no association with mobility. Conclusion: GPs working in small communities and those in a rural location for less than 3 years are most at risk of leaving rural practice.

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Section: Summary Of the Evidencementioning

confidence: 99%

Geographical mobility of general practitioners in rural Australia

McGrail

Humphreys

2015

Medical Journal of Australia

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“…These programmes require the graduate to work in an underserved setting with no attached incentive, usually for one year. Some examples are found in India in Kerala 4 and Assam (T Sundararaman, personal communication), Iraq, 17 Malaysia, 18 Mexico, 1 the former Soviet Union (historic) 1 and Venezuela. 5 …”

Section: Compulsory Service Without Incentivesmentioning

confidence: 99%

“…1,6,9,[25][26][27] Reasons given include: cost, utility and sustainability of programmes; 25 poor rural facilities; 25 lack of transportation; and inadequate clean water, electricity, equipment and medications, making performance of some skills learnt in medical schools impossible. 1 In Kerala, India, a strike protesting against a three-year compulsory service requirement influenced the government to reduce the service period to one year.…”

Section: Challenges From Professional Groupsmentioning

confidence: 99%

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Compulsory service programmes for recruiting health workers in remote and rural areas: do they work?

Frehywot

Mullan

Payne

et al. 2010

Bull. World Health Organ.

185

173

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“…Furthermore, factors that address living and working environment as well as opportunities for personal and professional development are among key successful postgraduation factors for enhanced doctor retention 3,6 , particularly in remote areas where doctors are less likely to continue working in the long run. Although these interrelated strategies have been implemented in a number of developing countries such as Ecuador, Indonesia and South Africa [10][11][12][13] , they are usually not comprehensive and often limited to addressing a single or limited number of underlying factors…”

Section: Introductionmentioning

confidence: 99%