Title of article
Strategies to Facilitate Improved Recruitment, Development, and Retention of the Rural and Remote Medical Workforce: A Scoping Review
Author/Authors
Noya ، Farah Division of Health Professions Education - School of Allied Health - University of Western Australia , Carr ، Sandra Division of Health Professions Education - School of Allied Health - University of Western Australia , Freeman ، Kirsty Medical School - Duke National University Singapore , Thompson ، Sandra Western Australian Centre for Rural Health - University of Western Australia , Clifford ، Rhonda School of Allied Health - University of Western Australia , Playford ، Denese The Rural Clinical School of WA, School of Medicine - University of Western Australia
From page
2022
To page
2037
Abstract
Background Medical workforce shortages in rural and remote areas are a global issue. Highincome countries (HICs) and low- and middle-income countries (LMICs) seek to implement strategies to address this problem, regardless of local challenges and contexts. This study distilled strategies with positive outcomes and success from international peer-reviewed literature regarding recruitment, retention, and rural and remote medical workforce development in HICs and LMICs.Methods The Arksey and O’Malley scoping review framework was utilised. Articles were retrieved from electronic databases Medline, Embase, Global Health, CINAHL Plus, and PubMed from 2010-2020. PRISMA-P guideline was used to ensure rigour in reporting the methodology in the interim, and PRISMA extension for scoping review (PRISMA-ScR) was used as a guide to report the findings. The success of strategies was examined against the following outcomes: for recruitment - rural and remote practice location; for development - personal and professional development; and for retention - continuity in rural and remote practice and low turnover rates.Results Sixty-one studies were included according to the restriction criteria. Most studies (n=53; 87%) were undertaken in high-income countries, with only eight studies from low and middle-income countries. This scoping review found implementation strategies classified as Educational, Financial, and Multidimensional were successful for recruitment, retention, and development of the rural and remote medical workforce.Conclusion This scoping review shows that effective strategies to recruit and retain rural and remote medical workforce are feasible worldwide despite differences in socio-economic factors. While adjustment and adaptation to match the strategies to the local context are required, the country’s commitment to act to improve the rural medical workforce shortage is most critical.
Keywords
Recruitment and Retention Strategies , Rural and Remote , Medical Workforce Shortage , High , Income Countries , Low , and Middle , Income Countries
Journal title
International Journal of Health Policy and Management(IJHPM)
Journal title
International Journal of Health Policy and Management(IJHPM)
Record number
2770372
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