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Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value

Author

Listed:
  • Matthew R. McGrail

    (Rural Clinical School, The University of Queensland, Rockhampton 4700, Australia)

  • Belinda G. O’Sullivan

    (Rural Clinical School, The University of Queensland, Rockhampton 4700, Australia)

Abstract

Strategies are urgently needed to foster rural general practitioners (GPs) with the skills and professional support required to adequately address healthcare needs in smaller, often isolated communities. Australia has uniquely developed two national-scale faculties that target rural practice: the Fellowship in Advanced Rural General Practice (FARGP) and the Fellowship of the Australian College of Rural and Remote Medicine (FACRRM). This study evaluates the benefit of rural faculties for supporting GPs practicing rurally and at a broader scope. Data came from an annual national survey of Australian doctors from 2008 and 2017, providing a cross-sectional design. Work location (rurality) and scope of practice were compared between FACRRM and FARGP members, as well as standard non-members. FACRRMs mostly worked rurally (75–84%, odds ratio (OR) 8.7, 5.8–13.1), including in smaller rural communities (<15,000 population) (41–54%, OR 3.5, 2.3–5.3). FARGPs also mostly worked in rural communities (56–67%, OR 4.2, 2.2–7.8), but fewer in smaller communities (25–41%, OR 1.1, 0.5–2.5). Both FACRRMs and FARGPs were more likely to use advanced skills, especially procedural skills. GPs with fellowship of a rural faculty were associated with significantly improved geographic distribution and expanded scope, compared with standard GPs. Given their strong outcomes, expanding rural faculties is likely to be a critical strategy to building and sustaining a general practice workforce that meets the needs of rural communities.

Suggested Citation

  • Matthew R. McGrail & Belinda G. O’Sullivan, 2020. "Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value," IJERPH, MDPI, vol. 17(13), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4652-:d:377445
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    References listed on IDEAS

    as
    1. Matthew R. McGrail & Belinda G. O’Sullivan & Deborah J. Russell, 2019. "Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy," IJERPH, MDPI, vol. 16(24), pages 1-10, December.
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    Cited by:

    1. Bailin Ge & Zhiqiang Ma & Mingxing Li & Xiaomeng Chi & Hira Salah ud din Khan & Ling Yang, 2022. "Exploring the Nexus of Healthcare Employees’ Professional Quality, Health Psychology and Service Value: A Qualitative Study," IJERPH, MDPI, vol. 19(19), pages 1-17, September.
    2. Belinda O’Sullivan & Matthew McGrail & Tiana Gurney & Priya Martin, 2020. "A Realist Evaluation of Theory about Triggers for Doctors Choosing a Generalist or Specialist Medical Career," IJERPH, MDPI, vol. 17(22), pages 1-17, November.
    3. Madhan Balasubramanian & Stephanie Short, 2021. "The Future Health Workforce: Integrated Solutions and Models of Care," IJERPH, MDPI, vol. 18(6), pages 1-4, March.

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