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Residents' choice of a placement in periphery hospitals in Israel: The significance of personal/family and professional considerations

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  • Feder-Bubis, Paula
  • Bin-Nun, Gabi
  • Zarhin, Dana
  • Sherf, Michael
  • Heiman-Neuman, Nitza

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.

Suggested Citation

  • Feder-Bubis, Paula & Bin-Nun, Gabi & Zarhin, Dana & Sherf, Michael & Heiman-Neuman, Nitza, 2023. "Residents' choice of a placement in periphery hospitals in Israel: The significance of personal/family and professional considerations," Health Policy, Elsevier, vol. 132(C).
    • Handle: RePEc:eee:hepoli:v:132:y:2023:i:c:s0168851023000672
    DOI: 10.1016/j.healthpol.2023.104795
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    References listed on IDEAS

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    1. Judith Green, 2004. "Book Review: Qualitative Methods and Health Policy Research," Sociological Research Online, , vol. 9(4), pages 108-109, November.
    2. Li, Jinhu & Scott, Anthony & McGrail, Matthew & Humphreys, John & Witt, Julia, 2014. "Retaining rural doctors: Doctors' preferences for rural medical workforce incentives," Social Science & Medicine, Elsevier, vol. 121(C), pages 56-64.
    3. Steven Simoens & Jeremy Hurst, 2006. "The Supply of Physician Services in OECD Countries," OECD Health Working Papers 21, OECD Publishing.
    4. Scott, Anthony & Witt, Julia & Humphreys, John & Joyce, Catherine & Kalb, Guyonne & Jeon, Sung-Hee & McGrail, Matthew, 2013. "Getting doctors into the bush: General Practitioners' preferences for rural location," Social Science & Medicine, Elsevier, vol. 96(C), pages 33-44.
    5. Tomoko Ono & Michael Schoenstein & James Buchan, 2014. "Geographic Imbalances in Doctor Supply and Policy Responses," OECD Health Working Papers 69, OECD Publishing.
    6. Hancock, Christine & Steinbach, Alan & Nesbitt, Thomas S. & Adler, Shelley R. & Auerswald, Colette L., 2009. "Why doctors choose small towns: A developmental model of rural physician recruitment and retention," Social Science & Medicine, Elsevier, vol. 69(9), pages 1368-1376, November.
    7. Weinhold, Ines & Gurtner, Sebastian, 2014. "Understanding shortages of sufficient health care in rural areas," Health Policy, Elsevier, vol. 118(2), pages 201-214.
    8. Kroezen, Marieke & Dussault, Gilles & Craveiro, Isabel & Dieleman, Marjolein & Jansen, Christel & Buchan, James & Barriball, Louise & Rafferty, Anne Marie & Bremner, Jeni & Sermeus, Walter, 2015. "Recruitment and retention of health professionals across Europe: A literature review and multiple case study research," Health Policy, Elsevier, vol. 119(12), pages 1517-1528.
    9. Matsumoto, Masatoshi & Inoue, Kazuo & Bowman, Robert & Noguchi, Satomi & Toyokawa, Satoshi & Kajii, Eiji, 2010. "Geographical distributions of physicians in Japan and US: Impact of healthcare system on physician dispersal pattern," Health Policy, Elsevier, vol. 96(3), pages 255-261, August.
    10. Till Bärnighausen & David E. Bloom, 2008. "Financial incentives for return of service in underserved areas: a systematic review," PGDA Working Papers 3608, Program on the Global Demography of Aging.
    11. McGrail, Matthew R. & Humphreys, John S. & Joyce, Catherine M. & Scott, Anthony, 2012. "International medical graduates mandated to practise in rural Australia are highly unsatisfied: Results from a national survey of doctors," Health Policy, Elsevier, vol. 108(2), pages 133-139.
    12. Matsumoto, Masatoshi & Inoue, Kazuo & Kajii, Eiji, 2008. "Characteristics of medical students with rural origin: Implications for selective admission policies," Health Policy, Elsevier, vol. 87(2), pages 194-202, August.
    13. Matsumoto, Masatoshi & Inoue, Kazuo & Kajii, Eiji, 2010. "Policy implications of a financial incentive programme to retain a physician workforce in underserved Japanese rural areas," Social Science & Medicine, Elsevier, vol. 71(4), pages 667-671, August.
    14. Gamzu, Ronni & Kaidar, Nir & Afek, Arnon & Horev, Tuvia, 2016. "Physician density planning in a public healthcare system: Complexities, threats and opportunities—The case of the Israeli healthcare system," Health Policy, Elsevier, vol. 120(8), pages 920-927.
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