Quin Tanya, Eggleton Kyle
General Practitioner, Auckland University, Okaihau.
Senior Lecturer, Department of General Practice and Primary Health Care, University of Auckland, Auckland.
N Z Med J. 2018 Aug 17;131(1480):32-37.
The aim of this study was to understand why general practitioners continue living and practicing in Northland.
The study was qualitative in nature. Ten Northland GPs were interviewed. Interviews were analysed using an evolved grounded theory approach based on the sociological perspective of symbolic interactionism.
Results from the study indicated that doctors whose values, and those of their developing families, are compatible with the accessible and affordable experiences that the physical environment of Northland provides, will stay in Northland. This connection intertwines with the value of family commitments and opportunities in the region. Both will not be shaken by professional or practice factors that, if positive, will only reinforce the depth of commitment to the region.
When selecting students or GP registrars to provincial areas or recruiting new GPs to those areas, the values, family connections and lifestyle desires of the candidate and their family should match the environment offered by the region in order to improve retention in that region.
本研究旨在了解为何全科医生继续在北国地区生活和执业。
本研究本质上是定性研究。对十位北国地区的全科医生进行了访谈。采用基于象征互动主义社会学视角的演化扎根理论方法对访谈进行分析。
研究结果表明，那些自身价值观及其成长中家庭的价值观与北国地区自然环境所提供的可及且实惠体验相契合的医生，会留在北国地区。这种联系与该地区家庭责任和机会的价值观相互交织。两者都不会因专业或执业因素而动摇，而这些因素若为积极因素，只会强化对该地区的投入深度。
在为省级地区挑选医学生或全科医生注册实习生，或向这些地区招募新的全科医生时，候选人及其家庭的价值观、家庭关系和生活方式期望应与该地区所提供的环境相匹配，以提高该地区的医生留存率。
