Solomon P, Salvatori P, Berry S
McMaster University School of Rehabilitation Science, IAHS, Hamilton, ON, Canada.
J Rural Health. 2001 Summer;17(3):278-85. doi: 10.1111/j.1748-0361.2001.tb00965.x.
Recruitment and retention of health professionals in rural and remote communities are well-known challenges. Although the literature states that lifestyle factors and being from a rural background influence recruitment and retention, much of the research is dated and of limited relevance to rehabilitation professionals. This study reports on a survey of physical therapists (PTs) and occupational therapists (OTs) in northwestern Ontario. Seventy-four percent of the OTs and PTs from this geographically isolated region of Canada responded to a mail survey examining factors that influenced their job recruitment and retention decisions. Availability of leisure and recreation activities, proximity of family of origin, need for OTs and PTs and influence of spouse or partner frequently contributed to recruitment decisions and were also important in retention decisions. Although professional autonomy was an important source of job satisfaction for the respondents, almost one-third reported a feeling of professional isolation. Professional development initiatives appeared to influence job satisfaction but were unlikely to influence working life decisions. The findings suggest that recruitment and retention strategies should be multifaceted to reflect the complexity of therapists' decision-making.
在农村和偏远社区招聘和留住卫生专业人员是众所周知的挑战。尽管文献表明生活方式因素以及来自农村背景会影响招聘和留用，但许多研究都已过时，与康复专业人员的相关性有限。本研究报告了对安大略省西北部物理治疗师（PT）和职业治疗师（OT）的一项调查。来自加拿大这个地理上孤立地区的74%的OT和PT对一项邮件调查做出了回应，该调查考察了影响他们工作招聘和留用决定的因素。休闲和娱乐活动的可获得性、原生家庭的距离、对OT和PT的需求以及配偶或伴侣的影响经常促成招聘决定，并且在留用决定中也很重要。尽管职业自主性是受访者工作满意度的一个重要来源，但近三分之一的人表示有职业孤立感。专业发展举措似乎会影响工作满意度，但不太可能影响工作生活决定。研究结果表明，招聘和留用策略应该是多方面的，以反映治疗师决策的复杂性。
