How does GP training impact rural and remote underserved communities? Exploring community and professional perceptions.

Tytuł:: How does GP training impact rural and remote underserved communities? Exploring community and professional perceptions.
Autorzy:: Kanakis K; James Cook University, Townsville, QLD, 4814, Australia. .
Young L; James Cook University, Townsville, QLD, 4814, Australia.
Reeve C; James Cook University, Townsville, QLD, 4814, Australia.
Hays R; James Cook University, Townsville, QLD, 4814, Australia.
Gupta TS; James Cook University, Townsville, QLD, 4814, Australia.
Malau-Aduli B; James Cook University, Townsville, QLD, 4814, Australia.
Źródło:: BMC health services research [BMC Health Serv Res] 2020 Aug 31; Vol. 20 (1), pp. 812. Date of Electronic Publication: 2020 Aug 31.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Medically Underserved Area*
Rural Health Services*/economics
Rural Health Services*/organization & administration
General Practitioners/*education
Adult ; Aged ; Aged, 80 and over ; Community Health Services ; Female ; Focus Groups ; Health Workforce ; Humans ; Male ; Middle Aged ; Primary Health Care ; Queensland ; Rural Health ; Rural Population ; Young Adult
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Contributed Indexing:: Keywords: Family medicine; GP training; Impact; Remote; Rural; Socio-economic; Underserved communities
Entry Date(s):: Date Created: 20200902 Date Completed: 20210112 Latest Revision: 20210616
Update Code:: 20240105
PubMed Central ID:: PMC7457499
DOI:: 10.1186/s12913-020-05684-7
PMID:: 32867750
: Czasopismo naukowe

Pełny tekst

Background: Substantial government funding has been invested to support the training of General Practitioners (GPs) in Australia to serve rural communities. However, there is little data on the impact of this expanded training on smaller communities, particularly for smaller rural and more remote communities. Improved understanding of the impact of training on underserved communities will assist in addressing this gap and inform ongoing investment by governments and communities.
Method: A purposive sample of GP supervisors, GP registrars, practice managers and health services staff, and community members (n = 40) from previously identified areas of workforce need in rural and remote North-West Queensland were recruited for this qualitative study. Participants had lived in their communities for periods ranging from a few months to 63 years (Median = 12 years). Semi-structured interviews and a focus group were conducted to explore how establishing GP training placements impacts underserved communities from a health workforce, health outcomes, economic and social perspective. The data were then analysed using thematic analysis.
Results: Participants reported they perceived GP training to improve communities' health services and health status (accessibility, continuity of care, GP workforce, health status, quality of health care and sustainable health care), some social factors (community connectedness and relationships), cultural factors (values and identity), financial factors (economy and employment) and education (rural pathway). Further, benefits to the registrars (breadth of training, community-specific knowledge, quality of training, and relationships with the community) were reported that also contributed to community development.
Conclusion: GP training and supervision is possible in smaller and more remote underserved communities and is perceived positively. Training GP registrars in smaller, more remote communities, matches their training more closely with the comprehensive primary care services needed by these communities.

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