Using the theory of reasoned action to model retention in rural primary care physicians
Using the theory of reasoned action to model retention in rural primary care physicians
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DOI：
10.1111/j.1748-0361.2003.tb00570.x
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发表时间：
2003-06-01
影响因子：
4.9
通讯作者：
Feeley, TH
中科院分区：
文献类型：
--
作者：
Feeley, TH
背景：许多研究注意力集中在医学生、住院医生和医生加入农村诊所的决定上，但很少有研究考察农村初级保健医生的保留情况。目的：本综述使用 Fishbein 和 Ajzen 的合理行动理论 (TRA) 来组织有关农村执业医生保留的预测因素和相关因素的文献。 TRA认为，离职行为是由一个人的离职意向直接预测的，而离职意向又是由一个人对农村实践的态度以及显着其他人（例如配偶）对农村实践和农村生活的态度的看法来预测的。方法：对预测和理解农村医生保留率的预测因素和相关性的学术文献进行叙述性文献回顾。研究结果：TRA 模型提供了一个有用的概念模型来组织有关农村医生保留的文献。医生对农村执业的主观规范是决定留任或离职的重要影响因素，这种关系应该在未来的研究中得到更充分的审视。
Context: Much research attention has focused on medical students', residents', and physicians' decisions to join a rural practice, but far fewer studies have examined retention of rural primary care physicians. Purpose: The current review uses Fishbein and Ajzen's Theory of Reasoned Action (TRA) to organize the literature on the predictors and correlates of retention of rural practicing physicians. TRA suggests turnover behavior is directly predicted by one's turnover intentions, which are, in turn, predicted by one's attitudes about rural practice and perceptions of salient others' (eg, spouse's) attitudes about rural practice and rural living. Methods: Narrative literature review of scholarship in predicting and understanding predictors and correlates of rural physician retention. Findings: The TRA model provides a useful conceptual model to organize the literature on rural physician retention. Physicians' subjective norms regarding rural practice are an important source Of influence in the decision to remain or leave one's position, and this relation should be more fully examined in future research.