Demonstrating a new approach to planning and monitoring rural medical training distribution to meet population need in North West Queensland McGrail, Matthew R en_US Russell, Deborah J en_US O’Sullivan, Belinda G en_US Reeve, Carole en_US Gasser, Lee en_US Campbell, David en_US 2019-01-25T02:46:08Z 2019-01-25T02:46:08Z 2018-12-22 2019-01-20T04:20:58Z
dc.description This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. en_US
dc.description.abstract Background Improving the health of rural populations requires developing a medical workforce with the right skills and a willingness to work in rural areas. A novel strategy for achieving this aim is to align medical training distribution with community need. This research describes an approach for planning and monitoring the distribution of general practice (GP) training posts to meet health needs across a dispersed geographic catchment. Methods An assessment of the location of GP registrars in a large catchment of rural North West Queensland (across 11 sub-regions) in 2017 was made using national workforce supply, rurality and other indicators. These included (1): Index of Access –spatial accessibility (2); 10-year District of Workforce Shortage (DWS) (3); MMM (Modified Monash Model) rurality (4); SEIFA (Socio-Economic Indicator For Areas) (5); Indigenous population and (6) Population size. Distribution was determined relative to GP workforce supply measures and population health needs in each health sub-region of the catchment. An expert panel verified the approach and reliability of findings and discussed the results to inform planning. Results 378 registrars and 582 supervisors were well-distributed in two sub-regions; in contrast the distribution was below expected levels in three others. Almost a quarter of registrars (24%) were located in the poorest access areas (Index of Access) compared with 15% of the population located in these areas. Relative to the population size, registrars were proportionally over-represented in the most rural towns, those consistently rated as DWS or those with the poorest SEIFA value and highest Indigenous proportion. Conclusions Current regional distribution was good, but individual town-level data further enabled the training provider to discuss the nuance of where and why more registrars (or supervisors) may be needed. The approach described enables distributed workforce planning and monitoring applicable in a range of contexts, with increased sensitivity for registrar distribution planning where most needed, supporting useful discussions about the potential causes and solutions. This evidence-based approach also enables training organisations to engage with local communities, health services and government to address the sustainable development of the long-term GP workforce in these towns. en_US
dc.identifier.citation McGrail, M. R., Russell, D. J., O’Sullivan, B. G., Reeve, C., Gasser, L., & Campbell, D. (2018). Demonstrating a new approach to planning and monitoring rural medical training distribution to meet population need in North West Queensland. BMC Health Services Research, 18(1). en_US
dc.identifier.doi en_US
dc.identifier.issn 1472-6963
dc.language.iso en en_US
dc.language.rfc3066 en
dc.oaire.license.condition.license CC-BY
dc.publisher BioMed Central en_US
dc.rights © The Author(s). 2018 en_US
dc.rights.holder The Author(s). en_US
dc.subject Workforce planning en_US
dc.subject Access en_US
dc.subject Rural health en_US
dc.subject Remote communities en_US
dc.subject GP training en_US
dc.subject Primary care en_US
dc.subject Health care equity en_US
dc.subject Decision making en_US
dc.title Demonstrating a new approach to planning and monitoring rural medical training distribution to meet population need in North West Queensland en_US
dc.type Article en_US
local.contributor.authorOrcidLookup McGrail, Matthew R: en_US
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