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Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value

Strategies are urgently needed to foster rural general practitioners (GPs) with the skills and professional support required to adequately address healthcare needs in smaller, often isolated communities. Australia has uniquely developed two national-scale faculties that target rural practice: the Fe...

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Autores principales: McGrail, Matthew R., O’Sullivan, Belinda G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370017/
https://www.ncbi.nlm.nih.gov/pubmed/32605246
http://dx.doi.org/10.3390/ijerph17134652
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author McGrail, Matthew R.
O’Sullivan, Belinda G.
author_facet McGrail, Matthew R.
O’Sullivan, Belinda G.
author_sort McGrail, Matthew R.
collection PubMed
description Strategies are urgently needed to foster rural general practitioners (GPs) with the skills and professional support required to adequately address healthcare needs in smaller, often isolated communities. Australia has uniquely developed two national-scale faculties that target rural practice: the Fellowship in Advanced Rural General Practice (FARGP) and the Fellowship of the Australian College of Rural and Remote Medicine (FACRRM). This study evaluates the benefit of rural faculties for supporting GPs practicing rurally and at a broader scope. Data came from an annual national survey of Australian doctors from 2008 and 2017, providing a cross-sectional design. Work location (rurality) and scope of practice were compared between FACRRM and FARGP members, as well as standard non-members. FACRRMs mostly worked rurally (75–84%, odds ratio (OR) 8.7, 5.8–13.1), including in smaller rural communities (<15,000 population) (41–54%, OR 3.5, 2.3–5.3). FARGPs also mostly worked in rural communities (56–67%, OR 4.2, 2.2–7.8), but fewer in smaller communities (25–41%, OR 1.1, 0.5–2.5). Both FACRRMs and FARGPs were more likely to use advanced skills, especially procedural skills. GPs with fellowship of a rural faculty were associated with significantly improved geographic distribution and expanded scope, compared with standard GPs. Given their strong outcomes, expanding rural faculties is likely to be a critical strategy to building and sustaining a general practice workforce that meets the needs of rural communities.
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spelling pubmed-73700172020-07-21 Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value McGrail, Matthew R. O’Sullivan, Belinda G. Int J Environ Res Public Health Article Strategies are urgently needed to foster rural general practitioners (GPs) with the skills and professional support required to adequately address healthcare needs in smaller, often isolated communities. Australia has uniquely developed two national-scale faculties that target rural practice: the Fellowship in Advanced Rural General Practice (FARGP) and the Fellowship of the Australian College of Rural and Remote Medicine (FACRRM). This study evaluates the benefit of rural faculties for supporting GPs practicing rurally and at a broader scope. Data came from an annual national survey of Australian doctors from 2008 and 2017, providing a cross-sectional design. Work location (rurality) and scope of practice were compared between FACRRM and FARGP members, as well as standard non-members. FACRRMs mostly worked rurally (75–84%, odds ratio (OR) 8.7, 5.8–13.1), including in smaller rural communities (<15,000 population) (41–54%, OR 3.5, 2.3–5.3). FARGPs also mostly worked in rural communities (56–67%, OR 4.2, 2.2–7.8), but fewer in smaller communities (25–41%, OR 1.1, 0.5–2.5). Both FACRRMs and FARGPs were more likely to use advanced skills, especially procedural skills. GPs with fellowship of a rural faculty were associated with significantly improved geographic distribution and expanded scope, compared with standard GPs. Given their strong outcomes, expanding rural faculties is likely to be a critical strategy to building and sustaining a general practice workforce that meets the needs of rural communities. MDPI 2020-06-28 2020-07 /pmc/articles/PMC7370017/ /pubmed/32605246 http://dx.doi.org/10.3390/ijerph17134652 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
McGrail, Matthew R.
O’Sullivan, Belinda G.
Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value
title Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value
title_full Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value
title_fullStr Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value
title_full_unstemmed Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value
title_short Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value
title_sort faculties to support general practitioners working rurally at broader scope: a national cross-sectional study of their value
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370017/
https://www.ncbi.nlm.nih.gov/pubmed/32605246
http://dx.doi.org/10.3390/ijerph17134652
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