New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices

Purpose: The purpose of this pilot study was to investigate the recruitment efforts of practicing obstetrics and gynecology (ob-gyns) from rural and urban practices. Method: The authors surveyed practicing ob-gyns from 5 states in the Pacific Northwest in 2016 about their background, practice settin...

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Main Authors: Michael F. Fialkow, Carrie M. Snead, Jay Schulkin
Format: Article
Language:English
Published: SAGE Publishing 2017-09-01
Series:Health Services Research & Managerial Epidemiology
Online Access:https://doi.org/10.1177/2333392817723981
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author Michael F. Fialkow
Carrie M. Snead
Jay Schulkin
author_facet Michael F. Fialkow
Carrie M. Snead
Jay Schulkin
author_sort Michael F. Fialkow
collection DOAJ
description Purpose: The purpose of this pilot study was to investigate the recruitment efforts of practicing obstetrics and gynecology (ob-gyns) from rural and urban practices. Method: The authors surveyed practicing ob-gyns from 5 states in the Pacific Northwest in 2016 about their background, practice setting, practice profile, partner recruitment, and retention. Results: Seventy-three patients completed the study (53.2% response rate). Thirty-seven percent of respondents work in an urban practice and 43% have a rural practice, with the remainder in a suburban setting. A majority of the respondents attempted to recruit a new partner in the past 5 years. Respondents were most interested in experience and diversity in new recruits. Urban respondents, however, were more interested in hiring those with specialized skills (χ 2 = 7.842, P = .02) than rural providers who were more interested in partners familiar with their community (χ 2 = 7.153, P = .03). Reasons most often cited to leave their practice were reimbursement, limited social/marital options, and workload, other than rural providers who more often also cited lack of access to specialty care (χ 2 = 13.256, P = .001). Rural providers were more likely to cite marital and family status as an advantage to recruitment, whereas urban and suburban providers were more often neutral. Conclusions: Reduced access to care has led to significant health disparities for women living in rural communities. Understanding which providers are most likely to be successful in these settings might help preserve access as our health-care systems evolves.
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spelling doaj.art-3b5da46cc36640c6abe2734113f51b432022-12-21T18:39:54ZengSAGE PublishingHealth Services Research & Managerial Epidemiology2333-39282017-09-01410.1177/2333392817723981New Partner Recruitment to Rural Versus Urban Ob-Gyn PracticesMichael F. Fialkow0Carrie M. Snead1Jay Schulkin2 Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA, USA The American College of Obstetricians and Gynecologists, Washington, DC, USA The American College of Obstetricians and Gynecologists, Washington, DC, USAPurpose: The purpose of this pilot study was to investigate the recruitment efforts of practicing obstetrics and gynecology (ob-gyns) from rural and urban practices. Method: The authors surveyed practicing ob-gyns from 5 states in the Pacific Northwest in 2016 about their background, practice setting, practice profile, partner recruitment, and retention. Results: Seventy-three patients completed the study (53.2% response rate). Thirty-seven percent of respondents work in an urban practice and 43% have a rural practice, with the remainder in a suburban setting. A majority of the respondents attempted to recruit a new partner in the past 5 years. Respondents were most interested in experience and diversity in new recruits. Urban respondents, however, were more interested in hiring those with specialized skills (χ 2 = 7.842, P = .02) than rural providers who were more interested in partners familiar with their community (χ 2 = 7.153, P = .03). Reasons most often cited to leave their practice were reimbursement, limited social/marital options, and workload, other than rural providers who more often also cited lack of access to specialty care (χ 2 = 13.256, P = .001). Rural providers were more likely to cite marital and family status as an advantage to recruitment, whereas urban and suburban providers were more often neutral. Conclusions: Reduced access to care has led to significant health disparities for women living in rural communities. Understanding which providers are most likely to be successful in these settings might help preserve access as our health-care systems evolves.https://doi.org/10.1177/2333392817723981
spellingShingle Michael F. Fialkow
Carrie M. Snead
Jay Schulkin
New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices
Health Services Research & Managerial Epidemiology
title New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices
title_full New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices
title_fullStr New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices
title_full_unstemmed New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices
title_short New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices
title_sort new partner recruitment to rural versus urban ob gyn practices
url https://doi.org/10.1177/2333392817723981
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