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PubMed2002

Workforce retention in rural and remote Australia: determining the factors that influence length of practice.

OBJECTIVES: To ascertain which factors are most significant in a general practitioner's decision to stay in rural practice and whether these retention factors vary in importance according to the geographical location of the practice and GP characteristics. DESIGN: National questionnaire survey. The method of paired comparisons was used to describe the relative importance of the retention items. SETTING: Non-metropolitan Australia, September 2001. PARTICIPANTS: A stratified sample of all rural GPs practising during April-June 2001. MAIN OUTCOME MEASURES: A rank ordering of factors influencing how long GPs stay in rural practice, and an index of their relative perceived importance. RESULTS: Professional considerations -- overwhelmingly, on-call arrangements -- are the most important factors determining GP retention in rural and remote areas. Rural doctors consistently ranked on-call arrangements, professional support and variety of rural practice as the top three issues, followed by local availability of services and geographical attractiveness. Proximity to a city or large regional centre was the least important factor. Retention factors varied according to geographical location and GPs' age, sex, family status, length of time in the practice, and hospital duties. CONCLUSIONS: A broad, integrated rural retention strategy is required to address on-call arrangements, provide professional support and ensure adequate time off for continuing medical education and recreation.

Australia↗
PubMed2002

Residential aged care and general practice: workforce demographic trends, 1984-2000.

OBJECTIVE: To examine the demographic changes in the cohort of general practitioners servicing residential aged-care facilities (RACFs) from 1984 to 2000. DESIGN: Quantitative analysis of Medicare datasets from 1984 to 2000. PARTICIPANTS AND SETTING: All GPs who provided Medicare-claimed RACF services from 1984 to 2000. MAIN OUTCOME MEASURES: Aggregate data on RACF GPs by age group and sex; total and average number of RACF services by GP age group and sex. RESULTS: The proportion of RACF GPs younger than 35 years has declined from a peak of 30.2% in 1986 to 11.5% in 2000. GPs aged 45 years and older made up 58.1% of all RACF GPs in 2000, compared with 41.4% in 1984. In 2000, 28.4% of RACF GPs were female, compared with 13.5% in 1984. The proportion of RACF services provided by GPs younger than 35 years fell from 19.2% in 1984 to 4.5% in 2000, and the proportion provided by GPs aged 45 years and older increased from 54.7% to 72.4%. Female GPs' RACF services as a proportion of all RACF services increased from 8.9% to 15.9% between 1984 and 2000, but the average number of RACF services per female GP declined by 15.6 services per year. In contrast, the average number of RACF services per male GP increased by 11.2 per year. The increasing rate of RACF servicing by older GPs is independent of female GPs' declining involvement. CONCLUSION: Our results suggest an increasing reliance on older, male GPs in the supply of RACF services. Although the proportion of female RACF GPs has increased, average services by these GPs, who are generally younger, has declined. The personal and work preferences of female GPs may have implications for future RACF services supply as older, generally male, GPs retire.

Adult↗
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A hidden workforce.

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Attitude of Health Personnel↗