期刊论文详细信息
Human Resources for Health
Should I stay or should I go? Exploring the job preferences of allied health professionals working with people with disability in rural Australia
Craig Veitch2  Jennie Brentnall3  Kim Bulkeley2  Rebecca Jean Chedid3  Anita Bundy2  Michelle Lincoln2  Angela Dew1  Gisselle Gallego2 
[1] School of Social Sciences, Faculty of Arts and Social Sciences, UNSW, Sydney 2052, NSW, Australia;Faculty of Health Sciences, University of Sydney, Cumberland Campus, East St, Lidcombe 1825, New South Wales, Australia;Centre for Health Research, School of Medicine, University of Western Sydney, Building 3, Campbelltown Campus, Locked Bag 1797, Penrith 2751, New South Wales, Australia
关键词: Australia;    Best–worst scaling;    Disability;    Rural;    Retention;    Preferences;   
Others  :  1219649
DOI  :  10.1186/s12960-015-0047-x
 received in 2014-12-18, accepted in 2015-06-19,  发布年份 2015
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【 摘 要 】

Introduction

The uneven distribution of allied health professionals (AHPs) in rural and remote Australia and other countries is well documented. In Australia, like elsewhere, service delivery to rural and remote communities is complicated because relatively small numbers of clients are dispersed over large geographic areas. This uneven distribution of AHPs impacts significantly on the provision of services particularly in areas of special need such as mental health, aged care and disability services.

Objective

This study aimed to determine the relative importance that AHPs (physiotherapists, occupational therapists, speech pathologists and psychologists – “therapists”) living in a rural area of Australia and working with people with disability, place on different job characteristics and how these may affect their retention.

Methods

A cross-sectional survey was conducted using an online questionnaire distributed to AHPs working with people with disability in a rural area of Australia over a 3-month period. Information was sought about various aspects of the AHPs’ current job, and their workforce preferences were explored using a best–worst scaling discrete choice experiment (BWSDCE). Conditional logistic and latent class regression models were used to determine AHPs’ relative preferences for six different job attributes.

Results

One hundred ninety-nine AHPs completed the survey; response rate was 51 %. Of those, 165 completed the BWSDCE task. For this group of AHPs, “high autonomy of practice” is the most valued attribute level, followed by “travel BWSDCE arrangements: one or less nights away per month”, “travel arrangements: two or three nights away per month” and “adequate access to professional development”. On the other hand, the least valued attribute levels were “travel arrangements: four or more nights per month”, “limited autonomy of practice” and “minimal access to professional development”. Except for “some job flexibility”, all other attributes had a statistical influence on AHPs’ job preference. Preferences differed according to age, marital status and having dependent children.

Conclusions

This study allowed the identification of factors that contribute to AHPs’ employment decisions about staying and working in a rural area. This information can improve job designs in rural areas to increase retention.

【 授权许可】

   
2015 Gallego et al.

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