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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework
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Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework

机译：了解影响初级医生职业决策以解决农村劳动力问题的因素：测试概念框架

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Medical graduates’ early career is known to be disorienting, and career decision-making is influenced by a complex set of factors. There is a strong association between rural background and rural undergraduate training and rural practice, and personal and family factors have been shown to influence workplace location, but the interaction between interest, training availability, and other work-relevant factors has not yet been fully explored. A qualitative study conducted by the Rural Clinical School of Western Australia (RCSWA) and WA Country Health Service (WACHS) explored factors influencing the decision to pursue rural work among junior doctors. Data collection and analysis was iterative. In total, 21 junior doctors were recruited to participate in semi-structured telephone interviews. Two main themes relating to the systems of influence on career decision-making emerged: (1) The importance of place and people, and (2) the broader context. We found that career decision-making among junior doctors is influenced by a complex web of factors operating at different levels. As Australia faces the challenge of developing a sustainable rural health workforce, developing innovative, flexible strategies that are responsive to the individual aspirations of its workforce whilst still meeting its healthcare service delivery needs will provide a way forward.
机译：众所周知，医学毕业生的早期职业会迷失方向，职业决策受到一系列复杂因素的影响。农村背景与农村本科培训与农村实践之间有着很强的联系，并且已经显示出个人和家庭因素会影响工作场所的位置，但是兴趣，培训可用性以及其他与工作相关的因素之间的相互作用尚未得到充分探讨。 。西澳大利亚州农村临床学校（RCSWA）和西澳州乡村医疗服务机构（WACHS）进行的定性研究探讨了影响初级医生从事农村工作的决定的因素。数据收集和分析是反复进行的。总共招募了21名初级医生参加半结构化电话采访。与职业决策影响系统有关的两个主要主题出现了：（1）位置和人员的重要性，以及（2）更广泛的背景。我们发现，初级医生的职业决策受到不同层次的复杂因素网络的影响。随着澳大利亚面临发展可持续的农村卫生人力的挑战，制定创新，灵活的战略以适应其劳动力的个人愿望，同时仍能满足其医疗服务的提供需求，将为我们提供前进的道路。

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