Rowan Kathleen, Shah Savyasachi V, Knudson Alana, Kolenikov Stas, Satorius Jennifer, Robbins Carolyn, Kepley Hayden
NORC at the University of Chicago, 4350 East-West Highway, 8th Floor, Bethesda, MD, 20814, USA.
U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) Bureau of Health Workforce (BHW), 5600 Fishers Lane, Rockville, MD, 20857, USA.
J Public Health Policy. 2024 Dec;45(4):639-653. doi: 10.1057/s41271-024-00516-y. Epub 2024 Aug 24.
Health care provider retention is important for mitigating workforce shortages in underserved areas. The National Health Service Corps (NHSC) provides loan repayment for a two or three-year service commitment from clinicians to work in underserved areas. Prior studies have mixed findings as to what influences clinician retention and have focused mainly on individual-level background characteristics. We used measures of NHSC clinicians' work environment during their service experience, in addition to background characteristics, to identify patterns of experiences, and assess whether these patterns were associated with post-service intentions. We observed that technical assistance and job resources were more influential on clinicians' intentions, compared to individual- or community-level characteristics. Organizations with efficient and supportive work environments may help retain clinicians in underserved areas.
留住医疗保健提供者对于缓解服务不足地区的劳动力短缺至关重要。国家卫生服务团（NHSC）为临床医生在服务不足地区工作的两年或三年服务承诺提供贷款偿还。先前的研究对于影响临床医生留任的因素有不同的发现，并且主要集中在个人层面的背景特征上。除了背景特征外，我们还使用了NHSC临床医生服务期间工作环境的衡量指标，以识别经验模式，并评估这些模式是否与服务后的意向相关。我们观察到，与个人或社区层面的特征相比，技术援助和工作资源对临床医生的意向影响更大。拥有高效且支持性工作环境的组织可能有助于留住服务不足地区的临床医生。
