A study of factors influencing the rural location of health professionals

Grimes, Richard M.; Lee, Joel M.; Lefko, Lewis A.; Hemphill, F. M.

doi:10.1097/00001888-197709000-00010

Cited by 6 publications

(5 citation statements)

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“…Table 1 shows responses to questions about the 26 factors thought to be important in physicians selecting a practice location. Of these factors, 12 were cited significantly more often as influencing decisions to practice in an urban area; major influences included opportunity for social life, cultural advantages, access to continuing education, and opportunities for regular contact with other physicians.…”

Section: Resultsmentioning

confidence: 99%

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Location decisions of National Health Service Corps physicians.

Stamps¹,

Kuriger²

1983

Am J Public Health

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Section: Resultsmentioning

confidence: 99%

“…12 The General Well-Being schedule (GWB) was administered to a subsample of adults aged 25-74 (6,913) in the NHANES I in order to provide a complete assessment of the health and mental well-being of the adult population. The GWB schedule consists of 18 items and produces six subscales.…”

Section: Methodsmentioning

confidence: 99%

Location decisions of National Health Service Corps physicians.

Stamps¹,

Kuriger²

1983

Am J Public Health

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“…Those with an interest in sports and recreation tended to choose rural communities. Physicians also have high propensities to settle in areas with which they have had prior personal contact (Ernst & Yett, 1985;Grimes, Lee, Lefko, & Hemphill, 1977;McFarland, 1973). be particularly relevant.…”

Section: Theoretical Developmentmentioning

confidence: 99%

Determinants of Physician Vacancy Rates in Rural Hospitals

Hyde

Fottler²

1994

The Journal of Rural Health

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This study examines the determinants of physician vacancy rates in rural hospitals from the perspective of the rural hospital administrator. Data on community characteristics, hospital characteristics, and hospital recruitment strategies are examined for 50 rural hospitals in Kentucky using questionnaire and archival data. Physician vacancy rates in this sample were quite high (mean of 37 percent). Results indicate lower physician vacancy rates in hospitals with a chain affiliation. In addition, the "job shopping" model for physicians decisions on where to practice (Johnson, 1978) is supported. Hospitals that target physician candidates with more work experience display lower physician vacancy rates. Generally, hospital characteristics were more significant predictors of physician vacancy rates than were community characteristics. Implications for rural hospital physician recruitment/retention strategies are discussed.

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“…Physician work force studies have examined physicians, the local economy, reimbursement issues, facilities, training programs, the nature of rural communities, and other factors. With multiple factors and the potential for complex interactions, it is no wonder that work force studies have noted conflicting results (Grimes, Lee, Lefko, & Hemphill, 1977). problem in the retention of rural physicians (Parker & Articles have long noted workload to be a major Sorensen, 1978;Hassinger, Gill, Hobbs, & Hageman, 1980;Crawford & McCormack, 1971;and Teplin, 1994).…”

mentioning

confidence: 99%

“…Not only do they need to see patients, they must manage the practice. Researchers demonstrate the association between the professional situation and retention when they note the importance of "practice finance" (Crawford & McCormack, 1971) or "building a practice" (Grimes, et al, 1977).…”

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confidence: 99%

Meeting the Challenges of Workload and Building a Practice: The Perspectives of 10 Rural Physicians

Bowman¹,

Crabtree²,

Petzel³

et al. 1997

The Journal of Rural Health

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This qualitative study used in-depth interviews to identify and describe factors regarding the retention of rural physicians. A purposeful sample of 10 established rural physicians from counties of fewer than 10,000 people participated in the study. Analysis of the interview transcripts identified the increased workload involved in building a rural practice to be a major concern of the physicians. The physicians expressed this difficulty in the form of two challenging dilemmas: (1) Towns with only a few physicians presented excellent opportunities for a building practice, but the lack of physicians resulted in more difficult working conditions; and (2) building a practice was described as primarily competitive, but staying in rural practice involved working cooperatively with various competitors. The demands of family, practice, and community interact in a complex fashion. The smallest health systems, those in counties with populations of fewer than 10,000, one hospital, and fewer than five physicians, may represent situations where it is difficult to find a workable solution.

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A study of factors influencing the rural location of health professionals

Cited by 6 publications

References 0 publications

Location decisions of National Health Service Corps physicians.

Location decisions of National Health Service Corps physicians.

Determinants of Physician Vacancy Rates in Rural Hospitals

Meeting the Challenges of Workload and Building a Practice: The Perspectives of 10 Rural Physicians

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