Interventions for increasing the proportion of health professionals practising in rural and other underserved areas

Grobler, Liesl; Marais, Ben J.; Mabunda, Sikhumbuzo A.

doi:10.1002/14651858.cd005314.pub3

Cited by 223 publications

(222 citation statements)

References 133 publications

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“…However, these interventions have not been sufficient to provide adequate staffing in rural areas. The effectiveness of current interventions has not been formally evaluated, and there are few well-designed studies to evaluate any of the numerous interventions that have been implemented to address the shortage of health care professionals practicing in rural areas (Grobler et al, 2009). In the meantime, staffing in rural facilities remains inadequate and governments are urged to implement interventions which cover the wide and complex variety of factors including improved working conditions, living conditions, professional development opportunities and remuneration.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing recruitment and retention of professional nurses, doctors and allied health professionals in rural hospitals in KwaZulu Natal

Haskins

Phakathi

Grant

et al. 2017

Health SA Gesondheid

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Introduction: In South Africa fewer health professionals (HPs) work in rural areas compared to urban areas, despite rural communities having greater health needs. This study explores factors influencing recruitment and retention of three categories of HPs in KwaZulu-Natal and has implications about how to retain them in rural areas.Methods: A cross-sectional, descriptive survey was conducted in 8 hospitals, 5 rural and 3 urban, in one district in KZN in 2011. Data were collected on single day in each hospital and all HPs on duty were requested to participate. We compared responses from rural and urban based HP as well as professional nurses (PNs), doctors, and allied HPs.Results: 417 questionnaires were completed: 150 from HPs in rural and 267 from HPs in urban hospitals. Perceptions of living/working in rural areas is negative and the quality of health care provided in rural areas is perceived as poor by all categories of HP. Rural-basedHPs were more likely to report living apart from spouse/partner (72.1% vs 37.0%, p < 0.001)and children (76.7% vs 36.9%, p < 0.001), and living in hospital accommodation (50.8% vs 28.9%; p < 0.001).Conclusions: Decisions made by HP about where to work are complex, multifactorial and should be tailored to each category of health professional.

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Section: Discussionmentioning

confidence: 99%

Factors influencing recruitment and retention of professional nurses, doctors and allied health professionals in rural hospitals in KwaZulu Natal

Haskins

Phakathi

Grant

et al. 2017

Health SA Gesondheid

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“…[19] Although studies have suggested that doctors originating from rural areas are more likely to practise in such areas, this is not guaranteed. [21][22][23] Specialist outreach experience in KZN suggests a different situation, i.e. foreign doctors comprise a large proportion of district hospital staff.…”

Section: Discussionmentioning

confidence: 99%

The National Health Insurance, the decentralised clinical training platform, and specialist outreach

Caldwell

Aldous

2016

S Afr Med J

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“…Rural, remote, and underprivileged areas are underserviced by domestic health professionals in many developing (e.g., Kanchanachitra et al, 2011) and developed (e.g., Rabinowitz et al, 2008) countries. Surprisingly, for an important issue that has been a focus of discussion for decades, there are essentially no studies that credibly estimate medium-and longterm causal impacts of programs seeking to address health services provision in underserviced areas; systematic reviews that have found no such studies are by Grobler et al (2009) and Wilson et al (2009). Nevertheless, there is a large research literature looking at non-causal relationships, and some jurisdictions, particularly Australia, Canada, New Zealand, and the US, clearly and explicitly employ immigration as a tool to service rural and remote areas (for a survey of one aspect of this literature see Bärnighausen and Bloom, 2009).…”

Section: Why Do Developed Countries Import Health Professionals?mentioning

confidence: 99%

The international migration of health professionals

Grignon¹,

Owusu²,

Sweetman³

2013

International Handbook on the Economics of Migration

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. www.econstor.eu The Institute for the Study of Labor (IZA) in Bonn is a local and virtual international research center and a place of communication between science, politics and business. IZA is an independent nonprofit organization supported by Deutsche Post Foundation. The center is associated with the University of Bonn and offers a stimulating research environment through its international network, workshops and conferences, data service, project support, research visits and doctoral program. IZA engages in (i) original and internationally competitive research in all fields of labor economics, (ii) development of policy concepts, and (iii) dissemination of research results and concepts to the interested public. Terms of use: Documents in D I S C U S S I O N P A P E R S E R I E SIZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author.IZA Discussion Paper No. 6517 April 2012 ABSTRACTThe International Migration of Health Professionals * Health workforce shortages in developed countries are perceived to be central drivers of health professionals' international migration, one ramification being negative impacts on developing nations' healthcare delivery. After a descriptive international overview, selected economic issues are discussed for developed and developing countries. Health labour markets' unique characteristics imply great complexity in developed economies involving government intervention, licensure, regulation, and (quasi-)union activity. These features affect migrants' decisions, economic integration, and impacts on the receiving nations' health workforce and society. Developing countries sometimes educate citizens in expectation of emigration, while others pursue international treaties in attempts to manage migrant flows.JEL Classification: J61, I15, I18

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Interventions for increasing the proportion of health professionals practising in rural and other underserved areas

Abstract: Interventions for increasing the proportion of health professionals practising in rural and other underserved areas.

Cited by 223 publications

References 133 publications

Factors influencing recruitment and retention of professional nurses, doctors and allied health professionals in rural hospitals in KwaZulu Natal

Factors influencing recruitment and retention of professional nurses, doctors and allied health professionals in rural hospitals in KwaZulu Natal

The National Health Insurance, the decentralised clinical training platform, and specialist outreach

The international migration of health professionals

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