Barbour Luke, Venkataraman Maya, Bland Alexandra, de Waal Anna, Fischer Jordie, Hari Kishore, Grzybowski Stefan
Medical student at the University of British Columbia (UBC) and a member of the Rural Health Services Research Network of BC, both in Vancouver.
Medical resident at Dalhousie University in Halifax, NS.
Can Fam Physician. 2024 Nov-Dec;70(11-12):719-724. doi: 10.46747/cfp.701112719.
To explore rural physician perspectives on how remuneration impacted their experiences of contributing to community resilience during the COVID-19 pandemic.
Exploratory, qualitative subanalysis.
Twenty-two rural communities in 4 Canadian provinces.
Family physicians, other health care professionals, and patients in rural communities in British Columbia, Alberta, Saskatchewan, and Ontario.
Semistructured, virtual interviews conducted between November 2021 and February 2022 were included in the subanalysis. Interviews were audiorecorded, transcribed, coded, and analyzed thematically.
Participants expressed working under an alternative payment plan (APP) model facilitated greater engagement in their communities and said they were generally fairly compensated for nonclinical duties. Increased time allotted to each patient re-centred care priorities to meet the long-term needs of the community. Finally, APP physicians stated their systems of care supported their own wellness throughout the pandemic.
Findings suggest physicians working in an APP model felt they had increased ability to engage with the community and contribute to its resilience. The flexibility of APPs may allow for more physician involvement in community sustainability that is not directly related to patient care.
探讨乡村医生对于薪酬如何影响他们在新冠疫情期间为社区恢复力做出贡献的经历的看法。
探索性定性子分析。
加拿大4个省份的22个乡村社区。
不列颠哥伦比亚省、艾伯塔省、萨斯喀彻温省和安大略省乡村社区的家庭医生、其他医疗保健专业人员和患者。
纳入2021年11月至2022年2月期间进行的半结构化虚拟访谈进行子分析。访谈进行了录音、转录、编码并进行主题分析。
参与者表示，在替代支付计划（APP）模式下工作促进了他们更多地参与社区事务，并且他们表示非临床工作通常得到了合理的报酬。分配给每位患者的时间增加，使护理重点重新聚焦于满足社区的长期需求。最后，采用APP模式的医生表示，他们的护理体系在整个疫情期间支持了他们自身的健康。
研究结果表明，采用APP模式工作的医生认为他们有更强的能力与社区互动并为社区恢复力做出贡献。APP模式的灵活性可能使医生更多地参与到与患者护理无直接关系的社区可持续发展中。
