Moore Jonathan D, Casanova Madeline P, Lords Allie M, Lima Ann V, Wilkinson Cody, Baker Russell T
Idaho Office of Rural and Underserved Medical Research, University of Idaho, Moscow, ID 83844, USA.
WWAMI Medical Education Program, University of Idaho, Moscow, ID 83844, USA.
Healthcare (Basel). 2024 May 21;12(11):1052. doi: 10.3390/healthcare12111052.
Limited U.S. research has been conducted examining factors affecting healthcare provider recruitment in rural settings, necessitating community-level investigations due to community differences. The aim of this study was to explore the factors involved in healthcare provider recruitment in a rural community in Northern Idaho. A retooled version of the Nursing Community Apgar Questionnaire (NCAQ) was used to collect data from 50 healthcare providers to assess items influencing provider recruitment. Items were categorized into five factors: geographic, economic, scope of practice, medical support, and facility and community support classes. Healthcare providers ranked items based on perceived importance and how advantageous or challenging it was to recruitment. A "Community Apgar" score is a composite score calculated using the advantage/challenge and importance scores. In our sample, medical support was rated as the most important class. Additionally, facility and community support was rated as the highest advantage class and had the most impactful Apgar scores, meaning it contained the most important advantage and challenge. Our findings suggest that these classes contain dominant factors related to the recruitment of providers in rural areas. Rural healthcare organizations seeking to improve the recruitment of healthcare providers should consider the potential impact of these factors on their population. Further investigations should be conducted on diverse rural samples across the U.S. to enable comparisons of research findings.
美国针对影响农村地区医疗服务提供者招聘的因素所开展的研究有限，鉴于社区差异，有必要进行社区层面的调查。本研究的目的是探究爱达荷州北部一个农村社区医疗服务提供者招聘所涉及的因素。采用经过改进的护理社区阿普加问卷（NCAQ）从50名医疗服务提供者那里收集数据，以评估影响提供者招聘的各项因素。这些因素被分为五类：地理因素、经济因素、执业范围因素、医疗支持因素以及设施与社区支持因素。医疗服务提供者根据感知到的重要性以及招聘的有利程度或挑战性对各项因素进行排序。“社区阿普加”分数是使用优势/挑战分数和重要性分数计算得出的综合分数。在我们的样本中，医疗支持因素被评为最重要的类别。此外，设施与社区支持因素被评为优势最高的类别，并且阿普加分数影响最大，这意味着它包含最重要的优势和挑战。我们的研究结果表明，这些类别包含与农村地区提供者招聘相关的主导因素。寻求改善医疗服务提供者招聘情况的农村医疗组织应考虑这些因素对其人群的潜在影响。应在美国不同的农村样本上进行进一步调查，以便对研究结果进行比较。
