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Human Resources for Health

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Open Access 01-12-2017 | Research

Physicians’ perceptions on the impact of telemedicine on recruitment and retention in underserved areas: a descriptive study in Senegal

Authors: Birama Apho Ly, Ivy Lynn Bourgeault, Ronald Labonté, Mbayang Ndiaye Niang

Published in: Human Resources for Health | Issue 1/2017

Abstract

Background

Similar to many places, physicians in Senegal are unevenly distributed. Telemedicine is considered a potential solution to this problem. This study investigated the perceptions of Senegal’s physicians of the impact of telemedicine on their recruitment to and retention in underserved areas.

Methods

We conducted individual interviews with a random sample of 60 physicians in Senegal, including 30 physicians working in public hospitals and 30 physicians working in district health centres between January and June 2014, as part of a mixed methods study. Data were collected using a semi-structured interview guide comprising both open- and close-ended questions. Interviews were recorded, transcribed and coded thematically using NVivo 10 software using a priori and emergent codes. Participants’ characteristics were analyzed descriptively using SPSS 23.

Results

The impact of telemedicine on physicians’ recruitment and retention in underserved areas was perceived with some variability. Among the physicians who were interviewed, most (36) thought that telemedicine could have a positive impact on their recruitment and retention but many (24) believed the opposite. The advantages noted by the first included telemedicine’s ability to break their professional isolation and reduce the stress related to this, facilitate their distance learning and improve their working conditions. They did acknowledge that it is not sufficient in itself, an opinion also shared by physicians who did not believe that telemedicine could affect their recruitment and retention. Both identified contextual, economic, educational, family, individual, organizational and professional factors as influential.

Conclusion

Based on these opinions of physicians, telemedicine promotion is one intervention that, alongside others, could be promoted to assist in addressing the multiple factors that influence physicians’ recruitment and retention in underserved areas.

Zurn P, Codjia L, Sall FL, Braichet J-M. How to recruit and retain health workers in underserved areas: the Senegalese experience. Bull World Health Organ. 2010;88:386–9.CrossRefPubMedPubMedCentral

Zurn P, Codjia L, Sall FL. La fidélisation des personnels de santé dans les zones difficiles au Sénégal, accroître l’accès aux personnels de santé dans les zones rurales ou reculées: etude de cas No 1. Geneva: World Health Organization; 2010.

Jones SM, Banwell PE, Shakespeare PG. Telemedicine in wound healing. Int Wound J. 2004;1:225–30.CrossRefPubMed

Gagnon MP, Duplantie J, Fortin JP, Landry R. Exploring the effects of telehealth on medical human resources supply: a qualitative case study in remote regions. BMC Health Serv Res. 2007;7(6):9.

Duplantie J, Gagnon M-P, Fortin J-P, Landry R. Telehealth and the recruitment and retention of physicians in rural and remote regions: a Delphi study. Can J Rural Med. 2007;12(1):30–6.PubMed

Brebner EM, Brebner JA, Ruddick-Bracken H, Wootton R, Ferguson J, Palombo A, et al. Evaluation of an accident and emergency teleconsultation service for north-east Scotland. J Telemed Telecare. 2004;10(1):16–20.CrossRefPubMed

Potter AJ, Mueller KJ, Mackinney AC, Ward MM. Effect of tele-emergency services on recruitment and retention of US rural physicians. Rural Remote Health. 2014;14:2787.PubMed

Jennett PA, Watson MM, Watanabe M. The potential effects of telehealth on the Canadian health workforce: where is the evidence? Cyberpsychol Behav. 2000;3(6):917–24.CrossRef

Watanabe M, Jennett P, Watson M. The effect of information technology on the physician workforce and health care in isolated communities: the Canadian picture. J Telemed Telecare. 1999;5(Suppl 2):S11–S9.CrossRefPubMed

10.

Ly B, Labonté R, Bourgeault I, Niang M. The individual and contextual determinants of the use of telemedicine: a descriptive study of the perceptions of Senegal’s physicians and telemedicine projects managers. PLoS One. 2017;12(7):e0181070.CrossRefPubMedPubMedCentral

11.

Ly B. The determinants of the use of telemedicine in Senegal [thesis by articles]. Ottawa, Canada: Faculty of Graduate and Postdoctoral Studies: University of Ottawa, Ontario; 2016.

12.

Sargeant J, Allen M, Langille D. Physician perceptions of the effect of telemedicine on rural retention and recruitment. J Telemed Telecare. 2004;10(2):89–93.CrossRefPubMed

13.

Hankins RW, Guo L, Bentley LA. Recruiting physicians and long-term viability: perspectives and practice manager. J Health Care Finance. 2002;29:76–86.PubMed

14.

Szafran O, Crutcher RA, Chaytors RG. Location of family medicine graduates’ practices. What factors influence Albertans’ choices? Can Fam Physician. 2001;47:2279–85.PubMedPubMedCentral

15.

Bilodeau H, Leduc N. Recension des principaux facteurs d'attraction, d'installation et de maintien des medecins en regions eloignees. Cahiers de Sociologie et de Demographie Medicales. 2003;43(3):485–504.PubMed

16.

Rabinowitz HK, Diamond JJ, Markham FW, Paynter NP. Critical factors for designing programs to increase the supply and retention of rural primary care physicians. JAMA. 2001;286(9):1041–8.CrossRefPubMed

17.

Labonte R, Sanders D, Mathole T, Crush J, Chikanda A, Dambisya Y, et al. Health worker migration from South Africa: causes, consequences and policy responses. Hum Resour Health. 2015;13(1):92.CrossRefPubMedPubMedCentral

18.

Ellsbury KE, Baldwin LM, Johnson KE, Runyan SJ, Hart LG. Gender-related factors in the recruitment of physicians to the rural Northwest. J Am Board Fam Pract. 2002;15:391–400.PubMed

19.

Wilson DR, Woodhead-Lyons SC, Moores DG. Alberta’s rural physician action plan: an integrated approach to education, recruitment and retention. CMAJ. 1998;158:351–5.PubMedPubMedCentral

20.

Matsumoto M, Inoue K, Kajii E. Rural practice evaluation: how do rural physicians evaluate their working conditions? Austr J Rural Health. 2001;9:65–9.CrossRef

Title: Physicians’ perceptions on the impact of telemedicine on recruitment and retention in underserved areas: a descriptive study in Senegal
Authors: Birama Apho Ly
Ivy Lynn Bourgeault
Ronald Labonté
Mbayang Ndiaye Niang
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Human Resources for Health / Issue 1/2017
Electronic ISSN: 1478-4491
DOI: https://doi.org/10.1186/s12960-017-0242-z

At a glance: The STEP trials

Springer Medicine

Physicians’ perceptions on the impact of telemedicine on recruitment and retention in underserved areas: a descriptive study in Senegal

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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