ERIC Number: EJ766164
Record Type: Journal
Publication Date: 2007
Reference Count: 33
Retention of Physician Assistants in Rural Health Clinics
Henry, Lisa R.; Hooker, Roderick S.
Journal of Rural Health, v23 n3 p207-214 Sum 2007
Context: Improvement of rural health care access has been a guiding principle of federal and state policy regarding physician assistants (PAs). Purpose: To determine the factors that influence autonomous rural PAs (who work less than 8 hours per week with their supervising physician) to remain in remote locations. Methods: A qualitative exploratory study was undertaken in 8 rural Texas towns, including direct observation of clinics, semi-structured interviews with PAs, and focus groups with community residents. Findings: The major factors contributing to retention among autonomous rural PAs include: confidence in the ability to provide adequate health care, desire for small-town life, residing in the community, and being involved with the community. Both PAs and residents thought the level of their town's health care was moderately good but could be improved. The clinic allowed easy access for primary care and minor injuries. Town residents and PAs also expressed a desire for major improvements including a pharmacy, visiting specialists, and additional medical equipment. Not all residents sought medical care at the clinic, with some electing to travel to physicians in larger towns. Conclusions: Rural community residents have more confidence in and satisfaction with PAs who have remained in a clinic for several years. In order to increase retention rates, PAs committed to autonomous, rural primary care would benefit from additional training, particularly in emergency medicine, the benefits of community involvement, and adaptation to the local culture.
Descriptors: Medical Services, Community Involvement, Focus Groups, Clinics, Access to Health Care, Rural Areas, Public Policy, Labor Turnover, Allied Health Personnel, Interviews, Public Health, Influences, Primary Health Care, Adjustment (to Environment), Labor Needs
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Texas