Retention of medical officers in district health services, South Africa: a descriptive survey.
district health services
general practitioners
health workforce
physicians
public sector
retention
Journal
BJGP open
ISSN: 2398-3795
Titre abrégé: BJGP Open
Pays: England
ID NLM: 101713531
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
05
04
2022
revised:
26
05
2022
accepted:
16
06
2022
pubmed:
28
9
2022
medline:
28
9
2022
entrez:
27
9
2022
Statut:
epublish
Résumé
The health workforce is critical to strengthening district health services (DHS). In the public sector of South Africa, medical officers (MOs) are essential to delivering services in primary health care (PHC) and district hospitals. Family physicians, responsible for clinical governance, identified their retention as a key issue. To evaluate factors that influence retention of MOs in public sector DHS. A descriptive survey of MOs working in DHS, Western Cape, South Africa. All 125 MOs working in facilities associated with the Stellenbosch University Family Physician Research Network (SUFPREN) were included in the survey. A questionnaire measured the prevalence of key factors that might be associated with retention (staying >4 years) and included the Satisfaction of Employees in Health Care (SEHC) tool and Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS). Data were collected in Research Electronic Data Capture (REDCap) and analysed in the Statistical Package for Social Sciences (SPSS). Ninety-five MOs completed the survey. The overall rating of the facility ( The overall rating of the facility was important and subsequent qualitative work has explored the underlying issues. These findings can guide strategies in the Western Cape and similar settings to retain MOs in the DHS.
Sections du résumé
BACKGROUND
BACKGROUND
The health workforce is critical to strengthening district health services (DHS). In the public sector of South Africa, medical officers (MOs) are essential to delivering services in primary health care (PHC) and district hospitals. Family physicians, responsible for clinical governance, identified their retention as a key issue.
AIM
OBJECTIVE
To evaluate factors that influence retention of MOs in public sector DHS.
DESIGN & SETTING
METHODS
A descriptive survey of MOs working in DHS, Western Cape, South Africa.
METHOD
METHODS
All 125 MOs working in facilities associated with the Stellenbosch University Family Physician Research Network (SUFPREN) were included in the survey. A questionnaire measured the prevalence of key factors that might be associated with retention (staying >4 years) and included the Satisfaction of Employees in Health Care (SEHC) tool and Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS). Data were collected in Research Electronic Data Capture (REDCap) and analysed in the Statistical Package for Social Sciences (SPSS).
RESULTS
RESULTS
Ninety-five MOs completed the survey. The overall rating of the facility (
CONCLUSION
CONCLUSIONS
The overall rating of the facility was important and subsequent qualitative work has explored the underlying issues. These findings can guide strategies in the Western Cape and similar settings to retain MOs in the DHS.
Identifiants
pubmed: 36167403
pii: BJGPO.2022.0047
doi: 10.3399/BJGPO.2022.0047
pmc: PMC9904795
pii:
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2022, The Authors.
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