Impact of support initiatives on retaining rural general practitioners.

Full Abstract

OBJECTIVE:
This study aimed to evaluate the impact of the Dr DOC program, a rural doctor workforce support program, which consists of social and psychological support and practical interventions, on the well-being and retention of rural GPs.

DESIGN:
Rural GPs were assessed on different aspects of well-being and their intentions to leave rural general practice, and these were compared with similar data collected two years prior.

SETTING:
Rural general practices in South Australia.

PARTICIPANTS:
Two hundred and twenty-one rural GPs (55% of South Australian rural GP workforce).

MAIN OUTCOME MEASURES:
GPs completed a questionnaire assessing their levels of support, intention to leave rural practice, use of the dr doc program, and psychological health.

RESULTS:
Improvements were found in the support networks and in the physical and emotional health of rural GPs from time 1 to time 2. There was also a reduction in the number of GPs wanting to leave rural general practice in the short to medium term (from 30% to 25%).

CONCLUSIONS:
The initial study in this series suggested that improving psychological well-being might influence rural GPs' intentions to leave rural practice. The current study confirms these suggestions by demonstrating that programs targeted at psychological and physical well-being do indeed impact on rural GPs' intentions to leave. The results of this study highlight the role of psychological well-being in retaining rural GPs and emphasise the value of developing psychologically based programs to not only boost the physical and mental health of GPs, but also to reduce departure from rural areas.

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Author information

Author/s: Gardiner, Maria (M); Sexton, Roger (R); Kearns, Hugh (H); Marshall, Kelly (K);

Affiliation: School of Psychology, Flinders University, Adelaide, South Australia 5001, Australia. maria.gardiner(-atsign-)flinders.edu.au

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: The Australian journal of rural health (Aust J Rural Health), published in Australia. (Language: eng)

Reference: 2006-Oct; vol 14 (issue 5) : pp 196-201

Dates: Created 2006/10/11; Completed 2007/02/08;

PMID: 17032295, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Attitude of Health Personnel
Crisis Intervention - statistics & numerical data
Family Practice - manpower
Health Care Surveys
Humans
Interprofessional Relations

Interprofessional Relations
Middle Aged
Personnel Turnover - statistics & numerical data
Professional Practice Location
Rural Health Services - manpower
Social Support
South Australia

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