Centre for Rural Health, College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia.
Aust J Rural Health. 2024 Oct;32(5):976-986. doi: 10.1111/ajr.13169. Epub 2024 Jul 23.
To examine the association between place of origin and principal place of practice (PPP) of domestic Tasmanian health graduates who received end-to-end training with the University of Tasmania (UTAS).
The 2022 PPP for all UTAS domestic Tasmanian graduates from medicine, nursing, pharmacy, psychology, medical radiation science and paramedicine between 2011 and 2020 was identified using the online Australian Health Practitioner Regulation Agency (Ahpra) registration database. The graduate's place of origin (home address at the time of course application), together with their 2022 PPP, was described using the Modified Monash Model (MM) classification system of remoteness. Data were analysed using STATA.
Over the 10-year period, 4079 domestic Tasmanians graduated from health courses at UTAS, of which 3850 (94.4%) were matched to an Australian PPP. In all, 78.3% of graduates were working in Tasmania, while the remainder (21.7%) were employed interstate. Of those with a Tasmanian PPP, 81.4% were working in a regional setting (MM2), while 77.6% of interstate employed graduates recorded a metropolitan (MM1) PPP. Rural place of origin (MM3-7) was associated with rural employment (MM3-7) in both Tasmania (OR, 37.08; 95% CI 29.01-47.39, p < 0.001), and on the Australian mainland (OR, 21.4; 95% CI 17.4-26.3, p < 0.001).
Most domestic Tasmanian origin UTAS health graduates contribute to the state's health workforce after qualifying. Further research is needed to explore PPP over time and to understand why some graduates are motivated to seek employment on the Australian mainland and in particular, metropolitan cities.
考察塔斯马尼亚大学（UTAS）全程培训的国内塔斯马尼亚卫生专业毕业生的原籍地和主要执业地（PPP）之间的关联。
使用在线澳大利亚卫生从业者监管机构（Ahpra）注册数据库，确定了 2011 年至 2020 年期间 UTAS 所有国内塔斯马尼亚医学、护理、药学、心理学、医学放射科学和辅助医学毕业生的 2022 年 PPP。毕业生的原籍地（课程申请时的家庭住址）及其 2022 年 PPP 采用改良莫纳什模型（MM）偏远程度分类系统进行描述。数据使用 STATA 进行分析。
在 10 年期间，有 4079 名国内塔斯马尼亚人从 UTAS 的健康课程毕业，其中 3850 人（94.4%）与澳大利亚 PPP 相匹配。所有毕业生中，有 78.3%在塔斯马尼亚工作，其余 21.7%在州际就业。在具有塔斯马尼亚 PPP 的毕业生中，有 81.4%在地区环境中工作（MM2），而在州际就业的毕业生中，有 77.6%记录了大都市（MM1）PPP。农村原籍地（MM3-7）与塔斯马尼亚（OR，37.08；95%CI 29.01-47.39，p<0.001）和澳大利亚大陆（OR，21.4；95%CI 17.4-26.3，p<0.001）的农村就业相关。
大多数国内塔斯马尼亚州原籍地的 UTAS 卫生专业毕业生在毕业后都为该州的卫生劳动力做出了贡献。需要进一步研究以了解 PPP 的时间变化，并探讨为什么有些毕业生有动力在澳大利亚大陆，特别是在大都市城市寻求就业。
