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重新思考农村地区辅助医疗专业人员留用政策:一种社会关系视角

Rethinking policies for the retention of allied health professionals in rural areas: a social relations approach.

作者信息

O'Toole Kevin, Schoo Adrian, Stagnitti Karen, Cuss Kate

机构信息

School of International and Political Studies, Deakin University, Warrnambool, Victoria 3280, Australia.

出版信息

Health Policy. 2008 Sep;87(3):326-32. doi: 10.1016/j.healthpol.2008.01.012. Epub 2008 Mar 11.

Abstract

OBJECTIVE

Retaining allied health professionals in rural areas is a recognised problem. Generally the literature has concentrated on three elements: practitioner needs, community needs and organisational needs. There has been little attempt to focus other types of social relations in which health practitioner retention and recruitment takes place. The aim of this paper is to question the present dominant hierarchical approach taken in relation to the retention of allied health professionals in rural localities.

METHODS

The data derives from a survey in Southwest Victoria, Australia. The sample was purposive rather than representative as it was intended to be exploratory in nature rather than definitive.

RESULTS

The data indicates that there is a greater tendency for allied health professionals in private practice to be retained in rural areas than those in the public sector.

CONCLUSION

The paper concludes by raising some questions about the pertinence of present models for regional health initiatives since they are locked into a bureaucratic model where relationships are hierarchical and asymmetrically controlled.

摘要

目的

留住农村地区的专职医疗人员是一个公认的问题。一般来说,文献主要集中在三个要素上:从业者需求、社区需求和组织需求。很少有人尝试关注发生医疗人员留用和招聘的其他类型社会关系。本文的目的是质疑目前在农村地区留住专职医疗人员方面占主导地位的等级制方法。

方法

数据来源于澳大利亚维多利亚州西南部的一项调查。该样本是有目的的,而非具有代表性,因为其本质上是探索性的,而非确定性的。

结果

数据表明,与公共部门的专职医疗人员相比,私人执业的专职医疗人员留在农村地区的倾向更大。

结论

本文最后对当前区域卫生倡议模式的相关性提出了一些问题,因为这些模式陷入了一种官僚模式,其中关系是等级制的且受到不对称控制。

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