Interventions for increasing the proportion of health professionals practising in rural and other underserved areas

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dc.contributor.authorGrobler L.
dc.contributor.authorMarais B.J.
dc.contributor.authorMabunda S.A.
dc.contributor.authorMarindi P.N.
dc.contributor.authorReuter H.
dc.contributor.authorVolmink J.
dc.date.accessioned2011-05-15T16:01:26Z
dc.date.available2011-05-15T16:01:26Z
dc.date.issued2009
dc.description.abstractBackground: The inequitable distribution of health professionals, within and between countries, poses an important obstacle to the achievement of optimal attainable health for all. Objectives: To assess the effectiveness of interventions aimed at increasing the proportion of health professionals working in rural and other underserved areas. Search strategy: We searched the specialised register of the Cochrane Effective Practice andOrganisation of Care Group (up to July 2007), the Cochrane Central Register of Controlled Trials (CENTRAL) and the Database of Abstracts of Reviews of Effectiveness (up to July 2007), MEDLINE (1966 to July 2007), EMBASE (1988 to July 2007), CINAHL (1982 to July 2007) and LILACS (up to July 2007). We also searched reference lists of all papers and relevant reviews identified, and contacted authors of relevant papers regarding any further published or unpublished work. Selection criteria: Randomised controlled trials, controlled trials (not strictly randomised), controlled before-after studies and interrupted time series studies evaluating the effects of various interventions (e.g. educational, financial or regulatory strategies) on the recruitment and/or retention of health professionals in under-served areas. Data collection and analysis: Two reviewers independently screened titles and abstracts obtained from the search in order to identify potentially relevant studies. Main result: No studies met the inclusion criteria. Authors' conclusions: There are no studies in which bias and confounding are minimised to support any of the interventions that have been implemented to address the inequitable distribution of health care professionals. Well-designed studies are needed to confirm or refute findings of various observational studies regarding educational, financial, regulatory and supportive interventions that may influence health care professionals' choice to practice in underserved areas. Governments and educators should ensure that where interventions are implemented this is done within the context of a well-planned study so that the true effects of these measures on recruitment and long term retention can be determined in various settings. Copyright © 2009 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
dc.description.versionReview
dc.identifier.citationCochrane Database of Systematic Reviews
dc.identifier.citation1
dc.identifier.issn1469493X
dc.identifier.other10.1002/14651858.CD005314.pub2
dc.identifier.urihttp://hdl.handle.net/10019.1/11980
dc.subjectAustralia
dc.subjectCINAHL
dc.subjectclinical assessment
dc.subjectCochrane Library
dc.subjectconfounding variable
dc.subjectdata analysis
dc.subjectdata extraction
dc.subjectEMBASE
dc.subjectfinancial management
dc.subjectgovernment
dc.subjecthealth care personnel
dc.subjecthealth education
dc.subjecthealth service
dc.subjectinformation processing
dc.subjectintervention study
dc.subjectlowest income group
dc.subjectmedical school
dc.subjectMEDLINE
dc.subjectobservational study
dc.subjectoutcome assessment
dc.subjectphysician
dc.subjectpopulation
dc.subjectprofessional practice
dc.subjectreview
dc.subjectrural area
dc.subjectsalary
dc.subjecttime series analysis
dc.subjectUnited States
dc.subjecturban area
dc.subjectwork capacity
dc.titleInterventions for increasing the proportion of health professionals practising in rural and other underserved areas
dc.typeReview
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