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The Whole-of-Person Retention Improvement Framework: A Guide for Addressing Health Workforce Challenges in the Rural Context

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  • Catherine Cosgrave

    (Department of Rural Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Docker St, Wangaratta, VIC 3677, Australia)

Abstract

People living in rural places face unique challenges due to their geographic isolation and often experience poorer health outcomes compared to people living in major cities. The struggle to attract and retain an adequately-sized and skilled health workforce is a major contributing factor to these health inequities. Health professionals’ decisions to stay or leave a rural position are multifaceted involving personal, organisational, social and spatial aspects. While current rural health workforce frameworks/models recognise the multidimensional and interrelated influences on retention, they are often highly complex and do not easily support the development of strategic actions. An accessible evidence-informed framework that addresses the complexity but presents the evidence in a manner that is straightforward and supports the development of targeted evidence- and place-informed retention strategies is required. The ‘Whole-of-Person Retention Improvement Framework’ (WoP-RIF) has three domains: Workplace/Organisational, Role/Career and Community/Place. The necessary pre-conditions for improving retention through strengthening job and personal satisfaction levels are set out under each domain. The WoP-RIF offers a person-centred, holistic structure that encourages whole-of-community responses that address individual and workforce level needs. It is a significant response to, and resource for, addressing avoidable rural health workforce turnover that rural health services and communities can harness in-place.

Suggested Citation

  • Catherine Cosgrave, 2020. "The Whole-of-Person Retention Improvement Framework: A Guide for Addressing Health Workforce Challenges in the Rural Context," IJERPH, MDPI, vol. 17(8), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2698-:d:345428
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    References listed on IDEAS

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    1. 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.
    2. Catherine Cosgrave & Christina Malatzky & Judy Gillespie, 2019. "Social Determinants of Rural Health Workforce Retention: A Scoping Review," IJERPH, MDPI, vol. 16(3), pages 1-19, January.
    3. Narelle Campbell & Diann S Eley & Lindy McAllister, 2016. "How Do Allied Health Professionals Construe the Role of the Remote Workforce? New Insight into Their Recruitment and Retention," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-15, December.
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    Cited by:

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    3. Claire Ellen Seaman & Elyce Green & Kate Freire, 2022. "Effect of Rural Clinical Placements on Intention to Practice and Employment in Rural Australia: A Systematic Review," IJERPH, MDPI, vol. 19(9), pages 1-24, April.
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    5. Emma V. Taylor & Rosalie D. Thackrah & Sandra C. Thompson, 2022. "Improving Access to Cancer Treatment Services in Australia’s Northern Territory—History and Progress," IJERPH, MDPI, vol. 19(13), pages 1-18, June.
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    7. Catherine Cosgrave, 2020. "Context Matters: Findings from a Qualitative Study Exploring Service and Place Factors Influencing the Recruitment and Retention of Allied Health Professionals in Rural Australian Public Health Servic," IJERPH, MDPI, vol. 17(16), pages 1-27, August.

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