Physician Retention in Rural Alberta: Key Community Factors

Cameron, Pamela J.; Este, David; Worthington, Catherine

doi:10.1007/bf03405568

Cited by 19 publications

(23 citation statements)

References 13 publications

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“…Many authors have reported the same types of results. 21 - 28 Cameron et al found that spousal and family support emerged as significant factors from the four communities that they questioned. 29 In our study, quality of life was also identified as an important recruitment and retention factor.…”

Section: Discussionmentioning

confidence: 99%

Physician perceptions of recruitment and retention factors in an area with a regional medical campus

et al. 2018

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Background:The factors that influence physicians to establish and maintain their practice in a region are variable. The presence of a regional medical campus (RMC) could influence physicians' choice. The objective of this study was to explore the factors influencing physician recruitment and retention, and in particular the role of a RMC, in a region of Quebec. Methods:A literature review of factors influencing physicians to stay in a rural area was conducted in order to create an interview guide. Questions were divided into sections: general information, family situation, medical training, career choice, current practice, intent to stay in the region, and impact of the RMC. Thirteen semi-structured individual interviews were conducted with practicing physicians. Data were analyzed using QDAMiner.Results: Recruitment factors were divided into six major themes: type of practice, spousal interest, opportunity for teaching, training in a region, workforce planning, and quality of life. Participants identified positive and negative factors associated with retention. In both cases, family and quality of work environment were mentioned. The RMC was perceived as having important impacts on the quality of professional life, research, medical practice, and regional development. Conclusion:This study highlights the role of RMCs in physician recruitment and retention via multiple impacts on the quality of practice of physicians working in the same area.Canadian Medical Education Journal 2018, 9(1), Special Issue e75 _______ Contexte: Les facteurs influençant les médecins à s'établir et à rester dans une région sont variables. La présence d'un campus médical régional (CMR) pourrait influencer ce choix. L'objectif de cette étude était d'explorer les facteurs de recrutement et de rétention influençant les médecins ayant choisi de pratiquer dans la région du Saguenay-Lac-Saint-Jean au Québec, en particulier le rôle du CMR.Méthodes: Une synthèse de la littérature a permis d'identifier différents facteurs influençant les médecins dans leur choix de lieu de pratique. Un guide d'entrevue a été élaboré à partir de ces facteurs. Les questions étaient séparées selon les sections suivantes: informations générales, situation familiale, études médicales, choix de carrière, pratique actuelle, intention de rester dans la région, impact du CMR. Treize entrevues semi-dirigées individuelles ont été réalisées avec des médecins en pratique. Les données ont été analysées avec QDA Miner. Résultats:Les facteurs influençant le recrutement étaient séparés en six thèmes majeurs : type de pratique, intérêt du conjoint, opportunité d'enseigner, formation en région, planification gouvernementale des effectifs médicaux et qualité de vie. Les participants ont identifié des facteurs de rétention négatifs et positifs. Ceux-ci concernaient la famille et la qualité de l'environnement de travail. D'après les participants, le CMR avait un impact direct sur la qualité de la vie professionnelle, la recherche, la pratique médicale et le développement régional. Con...

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Section: Discussionmentioning

confidence: 99%

Physician perceptions of recruitment and retention factors in an area with a regional medical campus

et al. 2018

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“…Despite improvements, research has shown persistent inequities in the access to health services within socio-demographic groups and between rural and urban communities across the country (Oosterveer & Young, 2015). The availability of health care professionals and health centres in particular is a major issue for rural communities in Alberta (Cameron, Este & Worthington, 2010). In 2011, 16.9% of Alberta's population lived in a rural region.…”

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confidence: 99%

Provision of consumer health information in Alberta's Rural Public Libraries

Danhoundo

Whistance-Smith²,

Lemoine

2019

Health Info Libraries J

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Background Access to health services is a major challenge in many rural communities within Canada. Rural public libraries can serve as centres for health resources. Objective The aim of this exploratory study was to analyse the manner in which Alberta's rural libraries provide health information to their patrons. Methods A questionnaire including closed ended and open ended questions was sent to the 285 rural libraries across the Canadian province of Alberta. Descriptive statistics and thematic analysis techniques were used for the data analysis. Results The findings indicate that in three quarters of Alberta's rural libraries, about 10% of requests for assistance were related to health issues. The provision of health information in these libraries is hampered by the lack of Internet, private space for reference interviews, and staff and volunteer training. Library staff members were inexperienced in conducting reference transactions and reported lacking confidence in meeting patrons’ needs and ethical standards. Discussion Addressing these challenges will require the recruitment of more qualified librarians in rural library systems, possibly through incentive measures, and a comprehensive education and training programme for both staff and volunteers combined with the necessary resource support for the rural libraries. Conclusion When human and material resources are adequate, rural libraries can contribute to improving the health literacy of their communities.

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“…15,37 Other qualities that made rural practice more appealing to physicians included developing connections to the Note: "+" denotes an intervention positively affecting recruitment and retention, while "-" denotes a negative impact Table 1. Emergent themes from full article eview community 13,33,38 and community appreciation. 7, 15,38 Another way to address the lack of rural physicians was recruiting international medical graduates and foreign-trained physicians.…”

Section: Resultsmentioning

confidence: 99%

“…Emergent themes from full article eview community 13,33,38 and community appreciation. 7, 15,38 Another way to address the lack of rural physicians was recruiting international medical graduates and foreign-trained physicians. 39,40 A study of provisional licensure of foreign-trained physicians showed that they tended to remain in rural practice at a rate comparable with Canadian-trained physicians.…”

Section: Resultsmentioning

confidence: 99%

Interventions to improve recruitment and retention of physicians in rural and remote Canada: a systematic review

Lafortune¹,

Gustafson²

2019

UWOMJ

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Purpose: Rural and remote regions of Canada struggle to attract and retain an adequate healthcare workforce to provide the healthcare needed by their local residents. The purpose of this systematic review is to explore current literature that has analyzed strategies for recruitment and retention of physicians to rural and remote regions in Canada. Methods: Scopus and PubMed were searched for articles. To be included in the review, the titles yielded from the initial search had to be in English and meet one of the inclusion criteria: (1) address rural and/or remote healthcare, (2) focus on medical students or physicians, and (3) discuss recruitment or retention strategies. Titles were excluded that discussed non-OECD countries, or that were not original journal articles. The final sample of articles were analyzed by both reviewers for content and emerging themes. Summary of Results and Conclusion: The initial search yielded a total of 3397 titles for review. After applying criteria described above, 35 articles remained for review. A variety of recruitment and retention themes were identified targeting physicians before, during, and after their medical education. The most effective strategies consistently appear to be those aimed before medical education, specifically admitting medical students who have a rural background. This review aims to provide a summary of the currently available research to assist with evidence-based decision making to increase supply and retention of rural physicians.

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Physician Retention in Rural Alberta: Key Community Factors

Cited by 19 publications

References 13 publications

Physician perceptions of recruitment and retention factors in an area with a regional medical campus

Physician perceptions of recruitment and retention factors in an area with a regional medical campus

Provision of consumer health information in Alberta's Rural Public Libraries

Interventions to improve recruitment and retention of physicians in rural and remote Canada: a systematic review

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