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影响澳大利亚新南威尔士州农村地区残疾人士相关健康专业人员留用情况的因素:离散选择实验问卷的编制

Factors affecting retention of allied health professionals working with people with disability in rural New South Wales, Australia: discrete choice experiment questionnaire development.

作者信息

Gallego Gisselle, Dew Angela, Bulkeley Kim, Veitch Craig, Lincoln Michelle, Bundy Anita, Brentnall Jennie

机构信息

Centre for Health Research, School of Medicine, University of Western Sydney, Building 3, Campbelltown Campus, Locked Bag 1797, Penrith, New South Wales, 2751, Australia.

Faculty of Health Sciences, University of Sydney, Cumberland Campus, East St, PO Box 175, Lidcombe, New South Wales, 1825, Australia.

出版信息

Hum Resour Health. 2015 Apr 21;13:22. doi: 10.1186/s12960-015-0013-7.

Abstract

OBJECTIVE

This paper describes the development of a discrete choice experiment (DCE) questionnaire to identify the factors (attributes) that allied health professionals (AHPs) working with people with disability identify as important to encouraging them to remain practising in rural areas.

METHODS

Focus groups and semi-structured interviews were conducted with 97 purposively selected service providers working with people with disability in rural New South Wales, Australia. Focus groups and interviews were digitally recorded, transcribed, and analysed using a modified grounded theory approach involving thematic analysis and constant comparison.

RESULTS

Six attributes that may influence AHPs working with people with disability in rural areas to continue to do so were inductively identified: travel arrangements, work flexibility, professional support, professional development, remuneration, and autonomy of practice. The qualitative research information was combined with a policy review to define these retention factors and ensure that they are amenable to policy changes.

CONCLUSION

The use of various qualitative research methods allowed the development of a policy-relevant DCE questionnaire that was grounded in the experience of the target population (AHPs).

摘要

目的

本文描述了一项离散选择实验(DCE)问卷的开发过程,以确定与残疾人合作的专职医疗人员(AHPs)认为对鼓励他们继续在农村地区执业至关重要的因素(属性)。

方法

对澳大利亚新南威尔士州农村地区97名经过有目的挑选的与残疾人合作的服务提供者进行了焦点小组讨论和半结构化访谈。焦点小组讨论和访谈进行了数字录音、转录,并采用一种经过改进的扎根理论方法进行分析,该方法包括主题分析和持续比较。

结果

归纳确定了六个可能影响农村地区与残疾人合作的专职医疗人员继续这样做的属性:旅行安排、工作灵活性、专业支持、专业发展、薪酬和执业自主权。定性研究信息与政策审查相结合,以界定这些留用因素,并确保它们适合政策变革。

结论

使用各种定性研究方法使得能够开发出一份与政策相关的DCE问卷,该问卷基于目标人群(专职医疗人员)的经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9031/4414418/4ea883f5b85c/12960_2015_13_Fig1_HTML.jpg

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