O'Toole Kevin, Schoo Adrian, Hernan Andrea
International and Political Studies, Deakin University, PO Box 423, Warrnambool, VIC 3280, Australia.
Aust Health Rev. 2010 Mar;34(1):66-72. doi: 10.1071/AH09711.
The aim of this paper is to explore the lack of retention of allied health professionals in rural areas in Victoria, Australia. A structured telephone interview was used to elicit responses from 32 allied health professionals from south-west, central-west and north-east Victoria about their working experiences and reasons for resignation. The data revealed that work experiences in rural areas can be summarised within three domains: organisational, professional and personal/community. Under the organisational domain the participants were mainly focussed on the way in which their work arrangements require them to be both more generalist in their approach to day-to-day work, and more expansive in shouldering management style functions in the workplace. Under the professional domain there were three major issues; clinical, career and education/training. The personal/community domain focussed on issues to do with their affinity for their workplace as well as their location in a rural place. The attempts by government to address some of the leading factors for retention of allied health professionals are perhaps too narrowly focussed on the public sector and could encompass a wider approach.
本文旨在探讨澳大利亚维多利亚州农村地区专职医疗人员留用率低的问题。通过结构化电话访谈,从维多利亚州西南部、中西部和东北部的32名专职医疗人员那里获取了他们的工作经历及离职原因。数据显示,农村地区的工作经历可归纳为三个方面:组织、专业和个人/社区。在组织方面,参与者主要关注工作安排要求他们在日常工作中既要更具通才性,又要在工作场所承担更广泛的管理职能。在专业方面,有三个主要问题:临床、职业发展和教育/培训。个人/社区方面则关注他们对工作场所的喜爱以及身处农村地区的情况。政府为解决专职医疗人员留用的一些主要因素所做的努力,可能过于狭隘地聚焦于公共部门,应该采取更广泛的方法。