Rural physicians and social capital: the potential and promises of a rural health research capacity building program.

BACKGROUND

Accessible and contextually relevant healthcare research programs and networks for rural physicians are exceedingly rare, which hinders the development of social capital in an already isolating profession. This study aims to examine the impact of the Rural Health Research Capacity Building (RRCB) Program on enhancing cognitive, structural, and relational social capital through comprehensive research skills training, supported by professional teams and resources.

METHODS

This study uses a mixed-methods approach with utilization of qualitative and quantitative data and pre-post quasi-experimental design. Data were collected prior and after completion of the program by means of surveys, focus group, and observation. Thirty-five rural physicians participated in this study from 2014 to 2021.

RESULTS

The results show a significant increase in cognitive (pre-program = 0.37 vs. post-program = 0.61, p < .001), structural (pre-program = 0.58 vs. post-program = 0.81, p < .001), and relational (pre-program = 0.49 vs. post-program 0.69, p < .001) components of social capital. Focus group discussions and observation data supported these findings, particularly highlighting that research capacity-building programs tailored to the needs of rural physicians can enhance collective values, improve the quality of relationships, and foster communities of research-focused practice.

CONCLUSIONS

Being equipped with a shared system of meanings and interpretations, research knowledge and resources, and a professional research network appears to play a critical role in enhancing social capital in rural health research. The RRCB program effectively improves social capital among rural and remote physicians.