Health services staffing with physicians in the remote areas: Recruitment and retention incentives
Journal Title: Αρχεία Ελληνικής Ιατρικής - Year 2014, Vol 31, Issue 1
Abstract
OBJECTIVE To investigate the opinions of specialist physicians about the staffing of the health services in remote areas with physicians and recruitment and retention incentives in these services. METHOD A cross sectional study was conducted. The study population consisted of the physicians working in hospitals, hospitals-health centers and health centers of the Peloponnese district. Of the 256 questionnaires that were sent, 194 were returned completed (response rate 75.6%). RESULTS The majority of participants (97.4%) considered that there is deficient medical staffing of the remote health services. Effective incentives to confront this deficiency were considered to be: preference for the specific healthcare organization (36.1%), monetary incentives (48.5%), career development (35.6%) and educational incentives (16.5%). The effectiveness of the legislated incentives was rated by 66% of participants as poor, by 28.4% as moderate and by 5.7% as good. The quality of life in the rural areas and recognition by the local population (52%), rural background (32.5%) and monetary incentives (23.2%) were factors that had influenced the recruitment of physicians to work in their current healthcare organizations. The good relationships with the local population (38.7%), the interest of the work (31.4%) and the work environment (26.3%) were the three most important factors influencing the physicians' continuation in their current healthcare organizations. The only characteristic that correlated with physician satisfaction was the specialty (p=0.02) and specifically physicians with a laboratory specialty indicated greater satisfaction than others. CONCLUSIONS The provision of incentives constitutes a catalytic factor in the recruitment and retention of physicians in remote areas. Although the current legislation includes incentives, their revision and renewal are considered necessary within the framework of a health policy for health services staffing of remote areas.
Authors and Affiliations
V. VARDIAMPASIS, M. TSIRONI, I. MOISOGLOU, P. GALANIS, G. ATHANASOPOULOU, H. STAVROPOULOU
Keywords
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