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Obstetric Provider Trainees in Georgia: Characteristics and Attitudes About Practice in Obstetric Provider Shortage Areas.
- Source :
- Maternal & Child Health Journal; Jul2016, Vol. 20 Issue 7, p1341-1348, 8p, 5 Charts
- Publication Year :
- 2016
-
Abstract
- Objectives In Georgia, 52 % of the primary care service areas outside metropolitan Atlanta have a deficit of obstetric providers. This study was designed to identify factors associated with the likelihood of Georgia's obstetric trainees (obstetrics and gynecology (OB/GYN) residents and certified nurse midwifery (CNM) students) to practice in areas of Georgia that lack obstetric providers and services, i.e. rural Georgia. Methods Pilot-tested electronic and paper surveys were distributed to all of Georgia's OB/GYN residents (N = 95) and CNM students (N = 28). Mixed-methods survey questions assessed characteristics, attitudes, and incentives that might be associated with trainee desire to practice in areas of Georgia that lack obstetric providers and services. Surveys also gathered information about concerns that may prevent trainees from practicing in shortage areas. Univariate and bivariate analyses were performed, and qualitative themes were abstracted from open-ended questions. Results The survey response rate was 87.8 % (108/123). Overall, 24.4 % (19/78) of residents and 53.6 % (15/28) of CNM students expressed interest in practicing in rural Georgia, and both residents and CNM students were more likely to desire to practice in rural Georgia with the offer of any of six financial incentives ( P < 0.001). Qualitative themes highlighted trainees' strong concerns about Georgia's political environment as it relates to reproductive healthcare. Conclusions Increasing state-level, rurally-focused financial incentive programs and emphasizing the role of CNMs may alleviate obstetric provider shortages in Georgia. [ABSTRACT FROM AUTHOR]
- Subjects :
- ATTITUDE (Psychology)
CHI-squared test
HEALTH services accessibility
HOSPITAL medical staff
LABOR demand
LABOR supply
MATERNAL health services
MEDICAL personnel
MIDWIVES
MOTIVATION (Psychology)
NURSING specialties
PHYSICIANS
RESEARCH funding
RURAL conditions
STATISTICS
QUALITATIVE research
PILOT projects
THEMATIC analysis
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 10927875
- Volume :
- 20
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Maternal & Child Health Journal
- Publication Type :
- Academic Journal
- Accession number :
- 116170887
- Full Text :
- https://doi.org/10.1007/s10995-016-1998-9