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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. 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.
    2. 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.
    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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    5. 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.
    6. Chelsey Kirkland & Kari Oldfield-Tabbert & Harshada Karnik & Jason Orr & Skky Martin & Jonathon P. Leider, 2022. "Public Health Workforce Gaps, Impacts, and Improvement Strategies from COVID-19," IJERPH, MDPI, vol. 19(20), pages 1-13, October.
    7. Emma V. Taylor & Sarah Dugdale & Christine M. Connors & Gail Garvey & Sandra C. Thompson, 2024. "“A Huge Gap”: Health Care Provider Perspectives on Cancer Screening for Aboriginal and Torres Strait Islander People in the Northern Territory," IJERPH, MDPI, vol. 21(2), pages 1-20, January.

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