Marketing orientation
Market the practice more than the place or market the place more than the practice? Before an organisation can attempt to recruit employees, it must define what it and the community can offer, and find the best way to market itself to potential applicants. Often, this requires customizing its marketing approach depending on the specific type of person it is trying to attract.
ImplementabilityMedium hard to implement: may take some organizational change to implement.
Contentment for both professionals, their spouse and or family, will come through community connectedness. Involvement through organised social and extracurricular activities provides networking opportunities and relationship building. Having friends (and family) can directly influence retention.
Success factors
A marketing perspective offers two important opportunities. Redefinition of the competitive arena in which GPs function as rural general practices so that marketing efforts can target the right audience, and application of a marketing perspective suggests a path forward towards succession planning and guidance for applying a market orientation to deal with perceptions of value, and the inherent the role of satisfaction, practice selections and offerings can be made based on an individual's value bundles.
Challenges
Perceived barriers to rural practice included long working hours, difficulty in getting leave from the practice, a lack of part‐time or job‐share opportunities for women, professional and personal/family social isolation and problems accessing educational opportunities for children and self. A physician’s spouse is highly influential in the decision to move to, remain in, or leave a rural practice location. Understanding the factors that contribute to, and detract from spouse’s contentment in rural practice, may offer a useful insight. Many international graduates leave behind family and friends in order to pursue a career in a rural or remote location, and as a result, often feel professionally and personally isolated, which can create discontentment.
A socially accountable organization designs its services to meet the needs of the population it serves. This implies having systems in place to regularly assess the population needs or monitor changes on an on-going basis.
How can we be sure that our service model best meets the needs of our population, provides the most cost-effective solutions, and leverages advances in technology? The service model must best meet the needs of the population, and metrics are required to monitor the effectiveness of the service model. In addition to understanding the population’s
service needs, a strong body of evidence suggests that, especially in rural and remote environments, the most successful health-service models are explicitly tailored to the local environment.
Delivery of safe and effective healthcare in remote and rural areas requires a specific additional skill set including ongoing skills maintenance and continuing education. In addition to ensuring there are appropriately tailored education and training opportunities that are accessible to remote and rural practitioners, there is a need to ensure recruits are learning-focused and have the ability to develop the remote and rural skill set that is required. This Framework challenges this perception and encourages organizations to seriously consider the characteristics of the person you would like to hire. Management may find that the promotion and advertising materials used may be targeting the wrong person.
Making a move to a rural or remote community, relocating and building a life there is a major consideration. Prospective employers want to reach recruits with more than just a job advertisement; it must be easy for target recruits to access any information that would influence them in making this major life decision. Professionals may have families including a spouse who needs to find work, and children requiring education and activities.
Engagement of communities in defining their recruitment and retention strategy is essential to the development of partnerships that will make the entire suite of interventions work. Having communities involved in defining the approach that will be used in their community ensures that solutions are feasible in their specific environment, and that community members are more likely to sustain them.
Ensuring that the new employee and their family is made to feel welcome in the community, and supported to become integrated in community recreation and other activities, is a key factor in ensuring a positive start and long stay in the community. This can mean involving community partners in meeting with the new recruits and their families, giving tours of the town, health services, and schools to ensure they are able to register in recreational and other programs.
Another important support that is often thought to be too complex to address is spousal employment. Lack of work opportunities for spouses is known to be a key barrier in the recruitment of professionals to rural locations. Dedicating resources to assisting spouses to learn about work opportunities is a good start to addressing this barrier.
Hemphill, E., Dunn, S., Barich, H., & Infante, R. (2007). Recruitment and retention of rural general practitioners: A marketing approach reveals new possibilities. Australian Journal Of Rural Health, 15(6), 360-367. doi:10.1111/j.1440-1584.2007.00928.x
Australian Medical Workforce Advisory Committee. Doctors in vocational training: rural background and rural practice intentions. Australian Journal of Rural Health2005; 13: 14–20. doi:10.1111/j.1440-1854.2004.00640.x
Mayo, E., & Mathews, M. (2006). Spousal perspectives on factors influencing recruitment and retention of rural family physicians.Canadian Journal of Rural Medicine, 11(4), 271-6. Retrieved from https://search-proquest-com.ezproxy.lib.monash.edu.au/docview/217562194?accountid=12528