Residents' choice of a placement in periphery hospitals in Israel: The significance of personal/family and professional considerations.
Health Policy
; 132: 104795, 2023 Jun.
Article
in En
| MEDLINE
| ID: mdl-36990021
ABSTRACT
Physician maldistribution affects remote and rural population health indicators and as such constitutes a major concern for health systems. Various countries, including Israel, have sought to remedy this problem, often by implementing more than one intervention simultaneously. In this paper, we explored the considerations that motivated Israeli residents to opt for a position in the periphery, as well as potential factors that could facilitate their retention in these underserved areas. We found that the motivation driving young physicians to specialize in a specific hospital includes personal- and family-oriented considerations (proximity to the nuclear family, perceived quality of life and lifestyle) as well as professional considerations (prior acquaintance with a hospital and a specific hospital department, department characteristics, availability of a residence position in a preferred specialty, prospective professional advancement). We therefore argue that the key to recruitment and retention of young physicians in remote areas lies in tailored interventions that take personal, professional and regional issues into account, preferably in consultation with the physicians themselves. The prominence of personal issues in the interviews with young physicians suggests that effective interventions should support a work-life balance. Hence success in attracting residents as a first step towards correcting physician maldistribution hinges upon coordinating policies in the medical field with policies in non-medical arenas - education, welfare, local authorities.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Physicians
/
Rural Health Services
Type of study:
Observational_studies
Aspects:
Patient_preference
Limits:
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Health Policy
Journal subject:
PESQUISA EM SERVICOS DE SAUDE
/
SAUDE PUBLICA
Year:
2023
Document type:
Article