Increasing access to health workers in underserved areas: a conceptual framework for measuring results

Huicho, Luis; Dieleman, Marjolein; Campbell, James; Codjia, Laurence; Balabanova, Dina; Dussault, Gilles; Dolea, Carmen

doi:10.2471/blt.09.070920

Cited by 50 publications

(56 citation statements)

References 8 publications

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“…The framework depicted in Figure 4.1 was prepared during the consultations of the expert group and was further developed by several members of the group (98). It takes a systems approach and builds on the traditional inputs-outputs-outcomes-impact evaluation model.…”

Section: Measuring Results: How To Select Implement and Evaluate Rurmentioning

confidence: 99%

Geographical mobility of general practitioners in rural Australia

McGrail

Humphreys

2015

Medical Journal of Australia

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Objective: To describe the geographical mobility of general practitioners in Australia, both within rural areas and between rural and metropolitan areas. Design and participants: Annual panel survey of GPs between 2008 and 2012. Main outcome measures: Work location, categorised by a typology based on geographical location and community size; frequency of mobility (change of location category); and characteristics of those who moved. Results: There were 3906 participants in 2008 (representative cohort, 19% of Australia's GP workforce) and 3502, 3514, 3287 and 3361 in subsequent years. 1810 GPs participated in all 5 years, and 10 900 origin–destination pairs were observed after removing GP registrars from the dataset. A total of 133 GPs moved from rural to metropolitan locations, 103 moved from metropolitan to rural locations, and 271 observed location changes were within rural areas. Annual location retention rates were 95% in regional centres, 90% in small rural towns and 82% in very remote areas. GPs in small towns of < 5000 residents had the highest risk of leaving rural practice. Mobility rates were significantly higher for GPs who had worked in a location for under 3 years and those working as either contracted or salaried employees, and somewhat higher for international medical graduates. Younger age was a small predictor of increased mobility, while sex and family status had no association with mobility. Conclusion: GPs working in small communities and those in a rural location for less than 3 years are most at risk of leaving rural practice.

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Section: Measuring Results: How To Select Implement and Evaluate Rurmentioning

confidence: 99%

Geographical mobility of general practitioners in rural Australia

McGrail

Humphreys

2015

Medical Journal of Australia

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“…In a systematic review of retention strategies, the interventions that had been evaluated had multiple effects, at different points on a continuum that ran from the attraction of health workers to their recruitment, retention and impact. 17 For example, the building of schools in rural areas seems to improve the attraction of students at the schools to rural work but appears to have no impact on long-term retention. In contrast, outreach interventions appear to improve the retention and performance of health workers in rural areas but have no significant effect on recruitment.…”

Section: Asia Perspectivementioning

confidence: 99%

Early implementation of WHO recommendations for the retention of health workers in remote and rural areas

Buchan

Couper

Tangcharoensathien³

et al. 2013

Bull. World Health Organ.

Self Cite

105

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“…The uneven distribution of health professionals, especially physicians, represents an important limition to reaching these objectives. As observed in the three countries analyzed, the iniquity problem in the distribution of health professionals is quite complex and a series of concomitant strategies has been used in order to mitigate it 5,34 .…”

Section: Discussionmentioning

confidence: 99%

Mais Médicos: um programa brasileiro em uma perspectiva internacional

Oliveira

Vanni

Pinto

et al. 2015

Interface (Botucatu)

134

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A escassez de profissionais de saúde em áreas remotas e vulneráveis é um importante obstáculo para a universalização do acesso à saúde em diversos países. Este artigo examina as políticas de provimento de profissionais de saúde na Austrália, nos Estados Unidos da América e no Brasil. Apesar do sucesso parcial de iniciativas anteriores, foi apenas com o Programa Mais Médicos que a provisão de médicos em áreas vulneráveis teve a magnitude e a resposta em tempo adequado para atender a demanda dos municípios brasileiros. Estão em curso, no país, mudanças quantitativas e qualitativas na formação médica, que buscam garantir não apenas a universalidade, mas, também, a integralidade e sustentabilidade do Sistema Único de Saúde. O êxito dessas iniciativas dependerão da continuidade da articulação interfederativa, de políticas regulatórias de estado, bem como, do constante monitoramento e aprimoramento do programa.

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Increasing access to health workers in underserved areas: a conceptual framework for measuring results

Cited by 50 publications

References 8 publications

Geographical mobility of general practitioners in rural Australia

Geographical mobility of general practitioners in rural Australia

Early implementation of WHO recommendations for the retention of health workers in remote and rural areas

Mais Médicos: um programa brasileiro em uma perspectiva internacional

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