Levesque Mylene, Hatcher Sharon, Savard Denis, Kamyap Reine Victoire, Jean Pauline, Larouche Catherine
Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean, Québec, Canada.
Université de Sherbrooke, Québec, Canada.
Can Med Educ J. 2018 Mar 27;9(1):e74-e83. eCollection 2018 Mar.
The factors that influence physicians to establish and maintain their practice in a region are variable. The presence of a regional medical campus (RMC) could influence physicians' choice. The objective of this study was to explore the factors influencing physician recruitment and retention, and in particular the role of a RMC, in a region of Quebec.
A literature review of factors influencing physicians to stay in a rural area was conducted in order to create an interview guide. Questions were divided into sections: general information, family situation, medical training, career choice, current practice, intent to stay in the region, and impact of the RMC. Thirteen semi-structured individual interviews were conducted with practicing physicians. Data were analyzed using QDAMiner.
Recruitment factors were divided into six major themes: type of practice, spousal interest, opportunity for teaching, training in a region, workforce planning, and quality of life. Participants identified positive and negative factors associated with retention. In both cases, family and quality of work environment were mentioned. The RMC was perceived as having important impacts on the quality of professional life, research, medical practice, and regional development.
This study highlights the role of RMCs in physician recruitment and retention via multiple impacts on the quality of practice of physicians working in the same area.
影响医生在某一地区建立并维持其医疗业务的因素多种多样。地区性医学园区(RMC)的存在可能会影响医生的选择。本研究的目的是探讨在魁北克的一个地区,影响医生招聘和留用的因素,特别是RMC的作用。
对影响医生留在农村地区的因素进行文献综述,以创建一份访谈指南。问题分为几个部分:一般信息、家庭状况、医学培训、职业选择、当前业务、留在该地区的意愿以及RMC的影响。对执业医生进行了13次半结构化的个人访谈。使用QDAMiner对数据进行分析。
招聘因素分为六个主要主题:业务类型、配偶的意愿、教学机会、在该地区的培训、劳动力规划和生活质量。参与者确定了与留用相关的积极和消极因素。在这两种情况下,都提到了家庭和工作环境质量。RMC被认为对职业生活质量、研究、医疗业务和地区发展具有重要影响。
本研究强调了RMC在医生招聘和留用方面的作用,它通过对同一地区工作的医生的业务质量产生多重影响来实现。