PMID: 9444118Jan 28, 1998Paper

Why doctors leave rural practice

The Australian Journal of Rural Health
R HaysLisa Crossland

Abstract

Retention of rural doctors remains difficult because of complex factors that influence decisions of medical families. This study explores the reasons why Queensland rural doctors left their communities during 1995. Semi-structured interviews were conducted with contactable former rural doctors who claimed that they had entered rural practice with the intention to stay for a substantial period of time. The interviews were audiotaped, transcribed and analysed using NUD.IST software. Participants appeared to be subject to a dynamic balance between opposing pressures to stay and pressures to leave. In time, they became susceptible to 'triggers' to leave. These triggers were sometimes locality-specific and could be difficult to address, particularly without early intervention. We believe that it should be possible to develop strategies that address specific concerns of rural doctors, particularly if they are identified early. The optimum period of stay in rural practice should be reconsidered, such that moderate stays should be rewarded in a way that retains the doctors in some form of rural, or near-rural practice.

References

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Citations

May 10, 2002·The Australian Journal of Rural Health·J TaylorG Misan
Mar 16, 2002·The Australian Journal of Rural Health·R P StrasserD Carson
Nov 13, 2001·The Australian Journal of Rural Health·C Alexander, J Fraser
Dec 12, 2001·The Australian Journal of Rural Health·P Barnett, J R Barnett
Jun 26, 2002·The Australian Journal of Rural Health·Gabrielle DelaneyMohammed H Khadra
Feb 27, 2003·The Australian Journal of Rural Health·Catherine JoyceLisa Crossland
Dec 4, 2003·The Australian Journal of Rural Health·Richard HaysLisa Crossland
Jan 12, 1999·The Australian Journal of Rural Health·C Alexander
Jul 29, 2005·The Australian Journal of Rural Health·Masatoshi MatsumotoEiji Kajii
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May 13, 2008·The Australian Journal of Rural Health·Karen FrancisTony Barnett
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Jun 4, 2005·The Australian Journal of Rural Health·Maria GardinerKiara Garrard
Jan 1, 2002·Occupational Therapy in Health Care·Jeannine Millsteed
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Apr 3, 2007·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Kazuo InoueTsutomu Sawada
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