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需要采取响应性政策以确保农村地区的女性医生供应:一个视角。

Responsive policies needed to secure rural supply from increasing female doctors: A perspective.

机构信息

Faculty of Medicine, The University of Queensland Rural Clinical School, Toowoomba, Queensland, Australia.

Faculty of Medicine, The University of Queensland Rural Clinical School, Rockhampton, Queensland, Australia.

出版信息

Int J Health Plann Manage. 2022 Jan;37(1):40-49. doi: 10.1002/hpm.3363. Epub 2021 Oct 15.

Abstract

Around the world, the supply of rural health services to address population health needs continues to be a wicked problem. Adding to this, an increasing proportion of female doctors is graduating from medical courses but gender is not accounted for within rural workforce policy and planning. This threatens the future capacity of rural medical services. This perspective draws together the latest evidence, to make the case for industry and government action on responsive policy and planning to attract females to rural medicine. We find that the factors that attract female doctors to rural practice are not the same as males. We identify female-tailored policies require a re-visioning of rural recruitment, use of employment arrangements that attract females and re-thinking issues of rural training and specialty choice. We conceptualise a roadmap that includes co-designing rural jobs within supportive teams, allowing for capped hours which align with childcare along with boosting of female peer support and mentorship. There is also a need to enhance flexible rural postgraduate training options in a range of specialties (at a time when many women are establishing families) and to consider viable partner employment (including for female doctors with university trained partners) and advertising specific rural attractors to women, including the chance to connect with communities and make a difference.

摘要

在全球范围内,提供农村卫生服务以满足人口健康需求的工作仍然是一个棘手的问题。此外,越来越多的女医生从医学院毕业,但农村劳动力政策和规划中并未考虑到性别因素。这威胁到农村医疗服务的未来能力。本观点综合了最新证据,提出了行业和政府采取行动制定有针对性的政策和规划以吸引女性从事农村医学工作的理由。我们发现,吸引女医生从事农村工作的因素与男医生不同。我们确定,需要制定针对女性的政策,重新考虑农村招聘、吸引女性的就业安排以及农村培训和专业选择问题。我们构想了一张路线图,包括在支持性团队中共同设计农村工作岗位,允许设定与育儿相协调的工作时间上限,并加强女性同行的支持和指导。还需要增加一系列专业领域的灵活农村研究生培训选择(此时许多女性正在组建家庭),并考虑可行的合作伙伴就业(包括有大学学历的伴侣的女医生),以及针对女性宣传具体的农村吸引力,包括有机会与社区建立联系并产生影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ef2/9292163/1ec2bcccb314/HPM-37-40-g001.jpg

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