Literature DB >> 14526866

Keeping family physicians in rural practice. Solutions favoured by rural physicians and family medicine residents.

James T B Rourke1, Filomena Incitti, Leslie L Rourke, MaryAnn Kennard.   

Abstract

OBJECTIVE: To determine how family medicine residents and practising rural physicians rate possible solutions for recruiting and sustaining physicians in rural practice.
DESIGN: Cross-sectional mailed survey.
SETTING: Rural family practices and family medicine residency programs in Ontario. PARTICIPANTS: Two hundred seventy-six physicians and 210 residents. MAIN OUTCOME MEASURES Ratings of proposed solutions on a 4-point scale from "very unimportant" to "very important".
RESULTS: Rural family physicians rated funding for learner-driven continuing medical education (CME) and limiting on-call duty to 1 night in 5 as the most important education and practice solutions, respectively. Residents rated an alternate payment plan to include time off for attending and teaching CME and comprehensive payment plans with a guaranteed income for locums as the most important education and practice solutions, respectively.
CONCLUSION: Residents and physicians rated solutions very similarly. A comprehensive package of the highest-rated solutions could help recruit and sustain physicians in rural practice because the solutions were developed by experts on rural practice and rated by family medicine residents and practising rural physicians.

Entities:  

Mesh:

Year:  2003        PMID: 14526866      PMCID: PMC2214284     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  6 in total

1.  Rural and remote practice issues. Canadian Medical Association.

Authors: 
Journal:  CMAJ       Date:  2000-10-17       Impact factor: 8.262

2.  Training an adequate number of rural family physicians.

Authors:  J Rourke; P Newbery; D Topps
Journal:  Can Fam Physician       Date:  2000-06       Impact factor: 3.275

3.  Attitudes of Victorian rural GPs to country practice and training.

Authors:  R P Strasser
Journal:  Aust Fam Physician       Date:  1992-06

4.  Trends in small hospital obstetric services in Ontario.

Authors:  J T Rourke
Journal:  Can Fam Physician       Date:  1998-10       Impact factor: 3.275

5.  Politics of rural health care: recruitment and retention of physicians.

Authors:  J T Rourke
Journal:  CMAJ       Date:  1993-04-15       Impact factor: 8.262

6.  Why doctors would stay in rural practice in the New England health area of New South Wales.

Authors:  C Alexander
Journal:  Aust J Rural Health       Date:  1998-08       Impact factor: 1.662

  6 in total
  11 in total

1.  Inter-Provincial Migration Intentions of Family Physicians in Canada: The Roles of Income and Community Characteristics.

Authors:  Haizhen Mou; M Rose Olfert
Journal:  Healthc Policy       Date:  2015-11

2.  Increasing the number of rural physicians.

Authors:  James Rourke
Journal:  CMAJ       Date:  2008-01-29       Impact factor: 8.262

3.  The effect of clinical academic service contracts on surgeon satisfaction.

Authors:  Joanne Clifton; Christine Bradley; Rachel Cadeliña; York Hsiang
Journal:  Can J Surg       Date:  2007-06       Impact factor: 2.089

4. 

Authors:  Taylor Lougheed
Journal:  Can Fam Physician       Date:  2019-05       Impact factor: 3.275

5.  Power of the locum.

Authors:  Taylor Lougheed
Journal:  Can Fam Physician       Date:  2019-05       Impact factor: 3.275

6.  Context counts: training health workers in and for rural and remote areas.

Authors:  Roger Strasser; Andre-Jacques Neusy
Journal:  Bull World Health Organ       Date:  2010-08-13       Impact factor: 9.408

7.  Project ECHO: a model for complex, chronic care in the Pacific Northwest region of the United States.

Authors:  John D Scott; Kent T Unruh; Mary C Catlin; Joseph O Merrill; David J Tauben; Roger Rosenblatt; Dedra Buchwald; Ardith Doorenbos; Cara Towle; Christian B Ramers; David H Spacha
Journal:  J Telemed Telecare       Date:  2012-12-03       Impact factor: 6.184

8.  Rural intentions: factors affecting the career choices of family medicine graduates.

Authors:  Diane J Lu; Jacquie Hakes; Meera Bai; Helen Tolhurst; James A Dickinson
Journal:  Can Fam Physician       Date:  2008-07       Impact factor: 3.275

9.  Factors Influencing Neurosurgeons' Decision to Retain in a Work Location: A Qualitative Study.

Authors:  Sima Rafiei; Mohammad Arab; Arash Rashidian; Mahmood Mahmoudi; Vafa Rahimi-Movaghar
Journal:  Glob J Health Sci       Date:  2015-04-02

10.  General Practice as a career choice among undergraduate medical students in Greece.

Authors:  Anargiros Mariolis; Constantinos Mihas; Alevizos Alevizos; Vasilis Gizlis; Theodoros Mariolis; Konstantinos Marayiannis; Yiannis Tountas; Christodoulos Stefanadis; Anastas Philalithis; George Creatsas
Journal:  BMC Med Educ       Date:  2007-06-01       Impact factor: 2.463

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