Towards a home-grown rural health workforce: Evidence from Tasmania, Australia

IF 1.9 4区 医学 Q2 NURSING Australian Journal of Rural Health Pub Date : 2024-07-23 DOI:10.1111/ajr.13169
B. Jessup PhD, N. Tran PhD, T. Stevens, P. Allen PhD, T. Barnett PhD
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Abstract

Objective

To examine the association between place of origin and principal place of practice (PPP) of domestic Tasmanian health graduates who received end-to-end training with the University of Tasmania (UTAS).

Methods

The 2022 PPP for all UTAS domestic Tasmanian graduates from medicine, nursing, pharmacy, psychology, medical radiation science and paramedicine between 2011 and 2020 was identified using the online Australian Health Practitioner Regulation Agency (Ahpra) registration database. The graduate's place of origin (home address at the time of course application), together with their 2022 PPP, was described using the Modified Monash Model (MM) classification system of remoteness. Data were analysed using STATA.

Results

Over the 10-year period, 4079 domestic Tasmanians graduated from health courses at UTAS, of which 3850 (94.4%) were matched to an Australian PPP. In all, 78.3% of graduates were working in Tasmania, while the remainder (21.7%) were employed interstate. Of those with a Tasmanian PPP, 81.4% were working in a regional setting (MM2), while 77.6% of interstate employed graduates recorded a metropolitan (MM1) PPP. Rural place of origin (MM3-7) was associated with rural employment (MM3-7) in both Tasmania (OR, 37.08; 95% CI 29.01–47.39, p < 0.001), and on the Australian mainland (OR, 21.4; 95% CI 17.4–26.3, p < 0.001).

Conclusions

Most domestic Tasmanian origin UTAS health graduates contribute to the state's health workforce after qualifying. Further research is needed to explore PPP over time and to understand why some graduates are motivated to seek employment on the Australian mainland and in particular, metropolitan cities.

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建立一支本土化的农村医疗卫生队伍:来自澳大利亚塔斯马尼亚州的证据。
目的研究在塔斯马尼亚大学(UTAS)接受端到端培训的塔斯马尼亚国内健康专业毕业生的原籍地与主要执业地点(PPP)之间的关联:通过澳大利亚卫生从业者监管局(Ahpra)在线注册数据库,确定了 2011 年至 2020 年间塔斯马尼亚州国内所有UTAS 医学、护理、药学、心理学、医学放射科学和辅助医疗毕业生的 2022 年主要执业地点。毕业生的原籍地(申请课程时的家庭住址)及其 2022 年的 PPP 采用修改后的莫纳什模型(MM)偏远地区分类系统进行描述。数据使用 STATA 进行分析:10 年间,共有 4079 名塔斯马尼亚州本地人从UTAS 的健康课程毕业,其中 3850 人(94.4%)与澳大利亚 PPP 匹配。总共有 78.3% 的毕业生在塔斯马尼亚州工作,其余的毕业生(21.7%)在州际就业。在塔斯马尼亚州 PPP 的毕业生中,81.4% 在地区环境(MM2)工作,而 77.6% 跨州就业的毕业生的 PPP 记录为大都市(MM1)。在塔斯马尼亚州,农村原籍(MM3-7)与农村就业(MM3-7)相关(OR,37.08;95% CI 29.01-47.39,p 结论):大多数来自塔斯马尼亚州国内的UTAS卫生专业毕业生在取得资格后都为该州的卫生事业做出了贡献。我们需要进一步开展研究,探讨随着时间推移的 "PPP",并了解为什么一些毕业生会选择到澳大利亚本土,尤其是大都市就业。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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