To stay or not to stay: issues in rural primary care physician retention in eastern Kentucky.
To stay or not to stay: issues in rural primary care physician retention in eastern Kentucky.
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DOI：
10.1111/j.1748-0361.1994.tb00241.x
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发表时间：
1994-01-01
期刊：
影响因子：
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通讯作者：
Lindeman, B
中科院分区：
文献类型：
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作者：
Cutchin, M P;Norton, J C;Lindeman, B
初级保健医生的可获得性的一个重要方面是一旦找到医生就留住他们。虽然与招聘相比，留住医生的研究还不够充分，但在医生短缺的农村地区，留住医生尤为重要。这项研究报告了肯塔基州东部农村132名初级保健医生完成的留任调查结果。这项调查建立了一个客观的、假设的保留情景，并要求医生回答结构化问题和关于调查中未出现的因素的开放式问题。针对调查的结构化部分，医生们表示，救济覆盖面是留住农村医生的最重要因素。对75份开放式调查问卷的内容分析表明，除了调查中的其他因素外，“社会文化融合”是农村从业者最突出的留住问题。这篇文章的结论是，当地农村社区在留住员工方面的作用可能比招聘方面更重要。最后，建议在当地背景下进行更深入的定性研究，以加强对乡村医生留用过程的了解。
An important aspect of primary care physician availability is the retention of physicians once they have located. While retention has been under-researched compared to recruitment, it is especially important in rural areas where physician shortages already exist. This study reports the results of a retention survey completed by 132 primary care physicians in rural eastern Kentucky. The survey sets up an objective, hypothetical retention scenario and asks physicians to respond to structured questions and to an open-ended question about factors not appearing in the survey. In response to the structured portion of the survey, physicians indicate that relief coverage is the most important factor in rural physician retention. A content analysis of 75 open-ended responses reveals that besides the other factors in the survey, "sociocultural integration" is the pre-eminent retention issue for rural practitioners. This article concludes that the role of the local rural community may be more important in retention than in recruitment. Finally, it is suggested that additional in-depth qualitative research be conducted within the local contexts to enhance the understanding of rural physician retention processes.