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佛蒙特州农村地区基层医疗劳动力招募的相关因素:一项试点研究。

Factors Associated With the Recruitment of Primary Care Workforce in Rural Vermont: A Pilot Study.

作者信息

Waeldner Kathleen, Kruglik Christopher P, Halvorson-Phelan Julia, Lee Joon Young, Taylor-Olson Carolyn, Hammond Marty, Fung Mark K, Carney Jan K

机构信息

Division of Public Health, Robert Larner, MD College of Medicine, University of Vermont, Burlington, USA.

Internal Medicine, Brattleboro Memorial Hospital, Brattleboro, USA.

出版信息

Cureus. 2024 Oct 20;16(10):e71941. doi: 10.7759/cureus.71941. eCollection 2024 Oct.

Abstract

Objective This study, conducted in collaboration with Windham Aging, aims to explore the key factors influencing the recruitment of primary care professionals (PCPs) in rural Vermont. It strives to contribute to the development of effective strategies to address the healthcare needs of rural communities, particularly focusing on the aging population. Methods The study employed a qualitative approach, involving structured interviews with Family Medicine residents and Doctor of Nurse Practitioner (DNP) students training at the University of Vermont Medical Center who were interested in pursuing primary care. The interview questions were developed after a roundtable discussion with rural Vermont PCPs. The data were analyzed using thematic, inductive methods. Results The study included 12 participants. Its findings challenge common assumptions about rural healthcare recruitment. While financial incentives are traditionally considered pivotal, this research revealed that personal and lifestyle factors play a more crucial role. Such factors include prior experiences in rural healthcare, preferences for rural living, and community attributes such as housing availability, educational facilities, and political landscape. These insights reveal a complex interplay of personal and community factors in the decision-making process.  Conclusions To effectively recruit PCPs in rural areas of Vermont, strategies need to extend beyond financial incentives. Emphasizing rural exposure during medical education and fostering stronger ties with rural healthcare settings during clinical rotations are key. Understanding the varied motivations behind healthcare professionals' choices is crucial for developing successful recruitment strategies in rural areas.

摘要

目的 本研究与温德姆老龄化组织合作开展,旨在探究影响佛蒙特州农村地区初级保健专业人员(PCP)招聘的关键因素。它致力于为制定有效策略以满足农村社区的医疗保健需求做出贡献,尤其关注老年人口。方法 该研究采用定性方法,对佛蒙特大学医学中心接受培训且有意从事初级保健工作的家庭医学住院医师和执业护士博士(DNP)学生进行结构化访谈。访谈问题是在与佛蒙特州农村地区的初级保健专业人员进行圆桌讨论后制定的。数据采用主题归纳法进行分析。结果 该研究包括12名参与者。其研究结果对有关农村医疗保健招聘的常见假设提出了挑战。虽然传统上认为经济激励至关重要,但这项研究表明个人和生活方式因素发挥着更关键的作用。这些因素包括在农村医疗保健方面的既往经历、对农村生活的偏好以及诸如住房供应、教育设施和政治环境等社区属性。这些见解揭示了个人和社区因素在决策过程中的复杂相互作用。结论 为了有效地在佛蒙特州农村地区招聘初级保健专业人员,策略需要超越经济激励。在医学教育期间强调农村实习经历,并在临床轮转期间与农村医疗保健机构建立更紧密的联系是关键。了解医疗保健专业人员选择背后多种多样的动机对于制定农村地区成功的招聘策略至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e096/11575835/c0bf2395dc9e/cureus-0016-00000071941-i01.jpg

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