Values that influence employment acceptance among physical therapists practicing in primary care shortage and non-urban designation areas

Introduction: Physical therapists (PTs) in all United States, DC, and the US Virgin Islands have first-contact direct access privileges to examine and treat patients. Evidence supports the value of PT services in reducing annual healthcare costs, decreasing the need for prescription pain medication...

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Main Authors: Patti Berg-Poppe, Joy Karges-Brown, Adam Ladwig, Patrick Cross
Format: Article
Language:English
Published: James Cook University 2021-09-01
Series:Rural and Remote Health
Subjects:
Online Access:https://www.rrh.org.au/journal/article/6614/
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author Patti Berg-Poppe
Joy Karges-Brown
Adam Ladwig
Patrick Cross
author_facet Patti Berg-Poppe
Joy Karges-Brown
Adam Ladwig
Patrick Cross
author_sort Patti Berg-Poppe
collection DOAJ
description Introduction: Physical therapists (PTs) in all United States, DC, and the US Virgin Islands have first-contact direct access privileges to examine and treat patients. Evidence supports the value of PT services in reducing annual healthcare costs, decreasing the need for prescription pain medication, and decreasing the need for outpatient physician care. PTs can play an essential role in managing patient health needs in primary care health professional shortage areas (pcHPSAs), especially in rural areas, which are disproportionately affected by shortage-related health disparities. The current study examined values that differentiated PTs who accept and maintain employment in pcHPSAs and non-urban areas, as a means of advising health agencies within these designation areas. Methods: A survey invitation was emailed to PTs in six states. The Determinants of Employment Acceptance Survey was used to survey the importance of six factors (attachment to place, community assets, practice environment, professional advancement, relationships, and remuneration) when considering employment. Results: Respondents included 373 PTs (36% pcHPSA; 33% non-urban). Professional advancement was significantly more important to PTs intending to continue their employment in a pcHPSA. Community assets were more important to PTs in non-urban areas who planned to leave their employment within 5 years. The most valued factors for PTs, regardless of practice location, were practice environment and attachment to place. Conclusion: Employers in rural areas or pcHPSAs who are interested in recruiting and retaining PTs should consider the importance of professional advancement, practice environment, and workplace relationships, and should use strategic measures to fortify these assets within the workplace.
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spelling doaj.art-b5c0bacfbd494a278d567c7eb41ef5592022-12-21T23:17:09ZengJames Cook UniversityRural and Remote Health1445-63542021-09-012110.22605/RRH6614Values that influence employment acceptance among physical therapists practicing in primary care shortage and non-urban designation areasPatti Berg-Poppe0Joy Karges-Brown1Adam Ladwig2Patrick Cross3Department of Physical Therapy, University of South Dakota, Vermillion, South Dakota, USADepartment of Physical Therapy, University of South Dakota, Vermillion, South Dakota, USADepartment of Physical Therapy, University of South Dakota, Vermillion, South Dakota, USADepartment of Physical Therapy, Briar Cliff University, Sioux City, Iowa, USAIntroduction: Physical therapists (PTs) in all United States, DC, and the US Virgin Islands have first-contact direct access privileges to examine and treat patients. Evidence supports the value of PT services in reducing annual healthcare costs, decreasing the need for prescription pain medication, and decreasing the need for outpatient physician care. PTs can play an essential role in managing patient health needs in primary care health professional shortage areas (pcHPSAs), especially in rural areas, which are disproportionately affected by shortage-related health disparities. The current study examined values that differentiated PTs who accept and maintain employment in pcHPSAs and non-urban areas, as a means of advising health agencies within these designation areas. Methods: A survey invitation was emailed to PTs in six states. The Determinants of Employment Acceptance Survey was used to survey the importance of six factors (attachment to place, community assets, practice environment, professional advancement, relationships, and remuneration) when considering employment. Results: Respondents included 373 PTs (36% pcHPSA; 33% non-urban). Professional advancement was significantly more important to PTs intending to continue their employment in a pcHPSA. Community assets were more important to PTs in non-urban areas who planned to leave their employment within 5 years. The most valued factors for PTs, regardless of practice location, were practice environment and attachment to place. Conclusion: Employers in rural areas or pcHPSAs who are interested in recruiting and retaining PTs should consider the importance of professional advancement, practice environment, and workplace relationships, and should use strategic measures to fortify these assets within the workplace.https://www.rrh.org.au/journal/article/6614/employment incentiveshealth disparitiesnon-urbanphysical therapistphysical therapyprimary care shortage area
spellingShingle Patti Berg-Poppe
Joy Karges-Brown
Adam Ladwig
Patrick Cross
Values that influence employment acceptance among physical therapists practicing in primary care shortage and non-urban designation areas
Rural and Remote Health
employment incentives
health disparities
non-urban
physical therapist
physical therapy
primary care shortage area
title Values that influence employment acceptance among physical therapists practicing in primary care shortage and non-urban designation areas
title_full Values that influence employment acceptance among physical therapists practicing in primary care shortage and non-urban designation areas
title_fullStr Values that influence employment acceptance among physical therapists practicing in primary care shortage and non-urban designation areas
title_full_unstemmed Values that influence employment acceptance among physical therapists practicing in primary care shortage and non-urban designation areas
title_short Values that influence employment acceptance among physical therapists practicing in primary care shortage and non-urban designation areas
title_sort values that influence employment acceptance among physical therapists practicing in primary care shortage and non urban designation areas
topic employment incentives
health disparities
non-urban
physical therapist
physical therapy
primary care shortage area
url https://www.rrh.org.au/journal/article/6614/
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