Alexander C
Tamworth Rural Training Unit, New South Wales, Australia.
Aust J Rural Health. 1998 Aug;6(3):136-9. doi: 10.1111/j.1440-1584.1998.tb00299.x.
Retention of rural doctors is a critical factor in effectively addressing the well-documented maldistribution of the medical workforce. The present study explores the reasons why rural doctors working in north-western New South Wales left their previous practice, moved to their current practice and have considered moving to another practice. In addition, these doctors were also asked as to the most effective strategies in retaining rural doctors and which organisations could make a valuable contribution in making rural general practice more attractive. As the doctor's choices concerning their practice locations involve judgements relating to a complex array of factors, there are a great number of priority actions involving many stakeholders that can impact positively on the retention of rural doctors. In addition to strictly professional issues, such as access to hospitals, a reasonable work load and a good level of procedural work, other issues, such as the availability of good social and cultural facilities, work opportunities for one's partner and good educational facilities for one's children, have a great bearing on the doctor's decision where to practise. Put differently, while the professional environment needs to be conducive to good rural practice, rural doctors are also human beings, requiring appropriate facilities to meet their 'quality of life' needs.
留住乡村医生是有效解决有充分记录的医疗劳动力分布不均问题的关键因素。本研究探讨了在新南威尔士州西北部工作的乡村医生离开先前诊所、转至当前诊所并考虑转至另一诊所的原因。此外，还询问了这些医生留住乡村医生的最有效策略以及哪些组织可以为使乡村全科医疗更具吸引力做出宝贵贡献。由于医生对其执业地点的选择涉及与一系列复杂因素相关的判断，因此有大量涉及众多利益相关者的优先行动可以对留住乡村医生产生积极影响。除了严格的专业问题，如医院就医机会、合理的工作量和良好的程序性工作水平外，其他问题，如良好的社会和文化设施的可用性、伴侣的工作机会以及子女的优质教育设施，对医生决定在哪里执业有很大影响。换句话说，虽然专业环境需要有利于良好的乡村医疗实践，但乡村医生也是人，需要适当的设施来满足他们的“生活质量”需求。
