Winn C S, Chisholm B A, Hummelbrunner J A
School of Rehabilitation Science, McMaster University, Thunder Bay, Ontario, Canada.
Rehabilitation Studies Program, Northern Ontario School of Medicine, Thunder Bay, Ontario, Canada.
Rural Remote Health. 2014;14:2619. Epub 2014 Apr 9.
Historically, Northern Ontario, Canada, has been an underserviced area for health care, including the rehabilitation professions of occupational therapy, physiotherapy, speech-language pathology and audiology. The Rehabilitation Studies and Northern Studies Stream programs were created in the 1990s to improve the recruitment and retention of rehabilitation professionals to Northern Ontario. However, no recent research has been conducted examining the factors that lead to rehabilitation professionals relocating to and remaining in the region.
A cross-sectional survey of rehabilitation professionals living and working in Northern Ontario was administered in 2009. Information collected included demographics and a rating of the personal and professional factors that had an impact on an individual's decision to continue living and working in Northern Ontario.
A total of 345 individuals completed the survey (response rate 57%). Multiple personal and professional factors were closely linked to recruitment and retention with differences noted between those individuals originally from Northern Ontario and those who were not. Rural or remote education experiences and rural/remote origin were identified as important recruitment factors while job satisfaction and lifestyle options were important factors for retention of rehabilitation professionals to rural and remote areas of practice.
This study has provided updated information specific to the recruitment and retention of rehabilitation professionals in Northern Ontario, Canada. These findings support previous work examining health professions worldwide and have clear implications for educational programs, funding agencies, and health human resource planning in underserviced areas.
从历史上看，加拿大安大略省北部一直是医疗服务供应不足的地区，包括职业治疗、物理治疗、言语病理学和听力学等康复专业领域。康复研究与北方研究项目于20世纪90年代设立，旨在提高向安大略省北部招募并留住康复专业人员的数量。然而，最近尚未开展任何研究来考察促使康复专业人员迁至该地区并留驻于此的因素。
2009年对在安大略省北部生活和工作的康复专业人员进行了一项横断面调查。收集的信息包括人口统计学数据，以及对影响个人决定继续在安大略省北部生活和工作的个人及职业因素的评分。
共有345人完成了调查（回复率为57%）。多个个人和职业因素与招募和留用密切相关，安大略省北部本地人与非本地人之间存在差异。农村或偏远地区的教育经历以及农村/偏远地区出身被确定为重要的招募因素，而工作满意度和生活方式选择是康复专业人员留在农村和偏远地区执业的重要因素。
本研究提供了有关加拿大安大略省北部招募和留住康复专业人员的最新信息。这些发现支持了此前针对全球卫生专业的研究工作，对教育项目、资助机构以及医疗服务供应不足地区的卫生人力资源规划具有明确的启示意义。
