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Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis

OBJECTIVES: To: (1) establish the prevalence of urban, regional, rural and remote practice location of early-career general practitioners (GPs); and (2) examine demographic and training-related characteristics associated with working in regional, rural or remote areas post attainment of vocational g...

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Autores principales: Fielding, Alison, Moad, Dominica, Tapley, Amanda, Davey, Andrew, Holliday, Elizabeth, Ball, Jean, Bentley, Michael, FitzGerald, Kristen, Kirby, Catherine, Turnock, Allison, Spike, Neil, van Driel, Mieke L, Magin, Parker
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9045092/
https://www.ncbi.nlm.nih.gov/pubmed/35473723
http://dx.doi.org/10.1136/bmjopen-2021-058892
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author Fielding, Alison
Moad, Dominica
Tapley, Amanda
Davey, Andrew
Holliday, Elizabeth
Ball, Jean
Bentley, Michael
FitzGerald, Kristen
Kirby, Catherine
Turnock, Allison
Spike, Neil
van Driel, Mieke L
Magin, Parker
author_facet Fielding, Alison
Moad, Dominica
Tapley, Amanda
Davey, Andrew
Holliday, Elizabeth
Ball, Jean
Bentley, Michael
FitzGerald, Kristen
Kirby, Catherine
Turnock, Allison
Spike, Neil
van Driel, Mieke L
Magin, Parker
author_sort Fielding, Alison
collection PubMed
description OBJECTIVES: To: (1) establish the prevalence of urban, regional, rural and remote practice location of early-career general practitioners (GPs); and (2) examine demographic and training-related characteristics associated with working in regional, rural or remote areas post attainment of vocational general practice qualifications. DESIGN: Cross-sectional, questionnaire-based study, combined with contemporaneously collected data from participants’ prior vocational training. SETTING: Australian general practice. PARTICIPANTS: Newly vocationally qualified GPs (ie, within 6 months–2 years post fellowship) who had completed vocational training with regional training organisations in New South Wales, Australian Capital Territory, eastern Victoria, and Tasmania between January 2016 and July 2018. PRIMARY OUTCOME MEASURE: Rurality of post-fellowship practice location, as defined by Modified Monash Model (MMM) geographical classifications, based on current practice postcode. Prevalence of regional/rural/remote (‘rural’) practice was described using frequencies, and associations of rural practice were established using multivariable logistic regression, considering a range of demographic factors and training characteristics as independent variables. RESULTS: A total of 354 participants completed the questionnaire (response rate 28%) with 319 providing information for their current practice location. Of these, 100 (31.4%) reported currently practising in a rural area (MMM2-7). Factors most strongly associated with practising in a rural area included having undertaken vocational GP training in a rural location OR 16.0 (95% CI 6.79 to 37.9); p<0.001; and undertaking schooling in rural area prior to university OR 4.21 (1.98, 8.94); p<0.001. CONCLUSIONS: The findings suggest that vocational training experience may have a role in rural general practice location post fellowship, attenuating the previously demonstrated ‘leakage’ from the rural practice pipeline.
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spelling pubmed-90450922022-05-11 Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis Fielding, Alison Moad, Dominica Tapley, Amanda Davey, Andrew Holliday, Elizabeth Ball, Jean Bentley, Michael FitzGerald, Kristen Kirby, Catherine Turnock, Allison Spike, Neil van Driel, Mieke L Magin, Parker BMJ Open Medical Education and Training OBJECTIVES: To: (1) establish the prevalence of urban, regional, rural and remote practice location of early-career general practitioners (GPs); and (2) examine demographic and training-related characteristics associated with working in regional, rural or remote areas post attainment of vocational general practice qualifications. DESIGN: Cross-sectional, questionnaire-based study, combined with contemporaneously collected data from participants’ prior vocational training. SETTING: Australian general practice. PARTICIPANTS: Newly vocationally qualified GPs (ie, within 6 months–2 years post fellowship) who had completed vocational training with regional training organisations in New South Wales, Australian Capital Territory, eastern Victoria, and Tasmania between January 2016 and July 2018. PRIMARY OUTCOME MEASURE: Rurality of post-fellowship practice location, as defined by Modified Monash Model (MMM) geographical classifications, based on current practice postcode. Prevalence of regional/rural/remote (‘rural’) practice was described using frequencies, and associations of rural practice were established using multivariable logistic regression, considering a range of demographic factors and training characteristics as independent variables. RESULTS: A total of 354 participants completed the questionnaire (response rate 28%) with 319 providing information for their current practice location. Of these, 100 (31.4%) reported currently practising in a rural area (MMM2-7). Factors most strongly associated with practising in a rural area included having undertaken vocational GP training in a rural location OR 16.0 (95% CI 6.79 to 37.9); p<0.001; and undertaking schooling in rural area prior to university OR 4.21 (1.98, 8.94); p<0.001. CONCLUSIONS: The findings suggest that vocational training experience may have a role in rural general practice location post fellowship, attenuating the previously demonstrated ‘leakage’ from the rural practice pipeline. BMJ Publishing Group 2022-04-25 /pmc/articles/PMC9045092/ /pubmed/35473723 http://dx.doi.org/10.1136/bmjopen-2021-058892 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Medical Education and Training
Fielding, Alison
Moad, Dominica
Tapley, Amanda
Davey, Andrew
Holliday, Elizabeth
Ball, Jean
Bentley, Michael
FitzGerald, Kristen
Kirby, Catherine
Turnock, Allison
Spike, Neil
van Driel, Mieke L
Magin, Parker
Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis
title Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis
title_full Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis
title_fullStr Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis
title_full_unstemmed Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis
title_short Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis
title_sort prevalence and associations of rural practice location in early-career general practitioners in australia: a cross-sectional analysis
topic Medical Education and Training
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9045092/
https://www.ncbi.nlm.nih.gov/pubmed/35473723
http://dx.doi.org/10.1136/bmjopen-2021-058892
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