Should I stay or should I go? Exploring the job preferences of allied health professionals working with people with disability in rural Australia

Gisselle Gallego, Angela Dew, Michelle Lincoln, Anita Bundy, Rebecca Jean Chedid, Kim Bulkeley, Jennie Brentnall, Craig Veitch

Research output: Contribution to journalArticle

8 Citations (Scopus)
3 Downloads (Pure)

Abstract

Introduction: The uneven distribution of allied health professionals (AHPs) in rural and remote Australia and other countries is well documented. In Australia, like elsewhere, service delivery to rural and remote communities is complicated because relatively small numbers of clients are dispersed over large geographic areas. This uneven distribution of AHPs impacts significantly on the provision of services particularly in areas of special need such as mental health, aged care and disability services. Objective: This study aimed to determine the relative importance that AHPs (physiotherapists, occupational therapists, speech pathologists and psychologists - "therapists") living in a rural area of Australia and working with people with disability, place on different job characteristics and how these may affect their retention. Methods: A cross-sectional survey was conducted using an online questionnaire distributed to AHPs working with people with disability in a rural area of Australia over a 3-month period. Information was sought about various aspects of the AHPs' current job, and their workforce preferences were explored using a best-worst scaling discrete choice experiment (BWSDCE). Conditional logistic and latent class regression models were used to determine AHPs' relative preferences for six different job attributes. Results: One hundred ninety-nine AHPs completed the survey; response rate was 51 %. Of those, 165 completed the BWSDCE task. For this group of AHPs, "high autonomy of practice" is the most valued attribute level, followed by "travel BWSDCE arrangements: one or less nights away per month", "travel arrangements: two or three nights away per month" and "adequate access to professional development". On the other hand, the least valued attribute levels were "travel arrangements: four or more nights per month", "limited autonomy of practice" and "minimal access to professional development". Except for "some job flexibility", all other attributes had a statistical influence on AHPs' job preference. Preferences differed according to age, marital status and having dependent children. Conclusions: This study allowed the identification of factors that contribute to AHPs' employment decisions about staying and working in a rural area. This information can improve job designs in rural areas to increase retention.

Original languageEnglish
Pages (from-to)1-13
Number of pages13
JournalHuman Resources for Health
Volume13
Issue number1
DOIs
Publication statusPublished - 30 Jun 2015
Externally publishedYes

Fingerprint

Allied Health Personnel
Disabled Persons
health professionals
disability
rural area
scaling
travel
experiment
autonomy
Professional Autonomy
physiotherapist
job design
occupational therapist
job characteristics
Physical Therapists
Marital Status
Rural Population
marital status
psychologist
therapist

Cite this

Gallego, Gisselle ; Dew, Angela ; Lincoln, Michelle ; Bundy, Anita ; Chedid, Rebecca Jean ; Bulkeley, Kim ; Brentnall, Jennie ; Veitch, Craig. / Should I stay or should I go? Exploring the job preferences of allied health professionals working with people with disability in rural Australia. In: Human Resources for Health. 2015 ; Vol. 13, No. 1. pp. 1-13.
@article{78e5887298cf4aed8104849b0487684a,
title = "Should I stay or should I go? Exploring the job preferences of allied health professionals working with people with disability in rural Australia",
abstract = "Introduction: The uneven distribution of allied health professionals (AHPs) in rural and remote Australia and other countries is well documented. In Australia, like elsewhere, service delivery to rural and remote communities is complicated because relatively small numbers of clients are dispersed over large geographic areas. This uneven distribution of AHPs impacts significantly on the provision of services particularly in areas of special need such as mental health, aged care and disability services. Objective: This study aimed to determine the relative importance that AHPs (physiotherapists, occupational therapists, speech pathologists and psychologists - {"}therapists{"}) living in a rural area of Australia and working with people with disability, place on different job characteristics and how these may affect their retention. Methods: A cross-sectional survey was conducted using an online questionnaire distributed to AHPs working with people with disability in a rural area of Australia over a 3-month period. Information was sought about various aspects of the AHPs' current job, and their workforce preferences were explored using a best-worst scaling discrete choice experiment (BWSDCE). Conditional logistic and latent class regression models were used to determine AHPs' relative preferences for six different job attributes. Results: One hundred ninety-nine AHPs completed the survey; response rate was 51 {\%}. Of those, 165 completed the BWSDCE task. For this group of AHPs, {"}high autonomy of practice{"} is the most valued attribute level, followed by {"}travel BWSDCE arrangements: one or less nights away per month{"}, {"}travel arrangements: two or three nights away per month{"} and {"}adequate access to professional development{"}. On the other hand, the least valued attribute levels were {"}travel arrangements: four or more nights per month{"}, {"}limited autonomy of practice{"} and {"}minimal access to professional development{"}. Except for {"}some job flexibility{"}, all other attributes had a statistical influence on AHPs' job preference. Preferences differed according to age, marital status and having dependent children. Conclusions: This study allowed the identification of factors that contribute to AHPs' employment decisions about staying and working in a rural area. This information can improve job designs in rural areas to increase retention.",
keywords = "Australia, Best-worst scaling, Disability, Preferences, Retention, Rural, Allied Health Personnel/supply & distribution, Humans, Middle Aged, Personnel Turnover, Workforce, Male, Job Satisfaction, Young Adult, Motivation, Rural Population, Work, Adult, Female, Decision Making, Attitude of Health Personnel, Cross-Sectional Studies, Logistic Models, Aged, Personnel Loyalty, Disabled Persons, Rural Health Services",
author = "Gisselle Gallego and Angela Dew and Michelle Lincoln and Anita Bundy and Chedid, {Rebecca Jean} and Kim Bulkeley and Jennie Brentnall and Craig Veitch",
year = "2015",
month = "6",
day = "30",
doi = "10.1186/s12960-015-0047-x",
language = "English",
volume = "13",
pages = "1--13",
journal = "Human Resources for Health",
issn = "1478-4491",
publisher = "BioMed Central",
number = "1",

}

Should I stay or should I go? Exploring the job preferences of allied health professionals working with people with disability in rural Australia. / Gallego, Gisselle; Dew, Angela; Lincoln, Michelle; Bundy, Anita; Chedid, Rebecca Jean; Bulkeley, Kim; Brentnall, Jennie; Veitch, Craig.

In: Human Resources for Health, Vol. 13, No. 1, 30.06.2015, p. 1-13.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Should I stay or should I go? Exploring the job preferences of allied health professionals working with people with disability in rural Australia

AU - Gallego, Gisselle

AU - Dew, Angela

AU - Lincoln, Michelle

AU - Bundy, Anita

AU - Chedid, Rebecca Jean

AU - Bulkeley, Kim

AU - Brentnall, Jennie

AU - Veitch, Craig

PY - 2015/6/30

Y1 - 2015/6/30

N2 - Introduction: The uneven distribution of allied health professionals (AHPs) in rural and remote Australia and other countries is well documented. In Australia, like elsewhere, service delivery to rural and remote communities is complicated because relatively small numbers of clients are dispersed over large geographic areas. This uneven distribution of AHPs impacts significantly on the provision of services particularly in areas of special need such as mental health, aged care and disability services. Objective: This study aimed to determine the relative importance that AHPs (physiotherapists, occupational therapists, speech pathologists and psychologists - "therapists") living in a rural area of Australia and working with people with disability, place on different job characteristics and how these may affect their retention. Methods: A cross-sectional survey was conducted using an online questionnaire distributed to AHPs working with people with disability in a rural area of Australia over a 3-month period. Information was sought about various aspects of the AHPs' current job, and their workforce preferences were explored using a best-worst scaling discrete choice experiment (BWSDCE). Conditional logistic and latent class regression models were used to determine AHPs' relative preferences for six different job attributes. Results: One hundred ninety-nine AHPs completed the survey; response rate was 51 %. Of those, 165 completed the BWSDCE task. For this group of AHPs, "high autonomy of practice" is the most valued attribute level, followed by "travel BWSDCE arrangements: one or less nights away per month", "travel arrangements: two or three nights away per month" and "adequate access to professional development". On the other hand, the least valued attribute levels were "travel arrangements: four or more nights per month", "limited autonomy of practice" and "minimal access to professional development". Except for "some job flexibility", all other attributes had a statistical influence on AHPs' job preference. Preferences differed according to age, marital status and having dependent children. Conclusions: This study allowed the identification of factors that contribute to AHPs' employment decisions about staying and working in a rural area. This information can improve job designs in rural areas to increase retention.

AB - Introduction: The uneven distribution of allied health professionals (AHPs) in rural and remote Australia and other countries is well documented. In Australia, like elsewhere, service delivery to rural and remote communities is complicated because relatively small numbers of clients are dispersed over large geographic areas. This uneven distribution of AHPs impacts significantly on the provision of services particularly in areas of special need such as mental health, aged care and disability services. Objective: This study aimed to determine the relative importance that AHPs (physiotherapists, occupational therapists, speech pathologists and psychologists - "therapists") living in a rural area of Australia and working with people with disability, place on different job characteristics and how these may affect their retention. Methods: A cross-sectional survey was conducted using an online questionnaire distributed to AHPs working with people with disability in a rural area of Australia over a 3-month period. Information was sought about various aspects of the AHPs' current job, and their workforce preferences were explored using a best-worst scaling discrete choice experiment (BWSDCE). Conditional logistic and latent class regression models were used to determine AHPs' relative preferences for six different job attributes. Results: One hundred ninety-nine AHPs completed the survey; response rate was 51 %. Of those, 165 completed the BWSDCE task. For this group of AHPs, "high autonomy of practice" is the most valued attribute level, followed by "travel BWSDCE arrangements: one or less nights away per month", "travel arrangements: two or three nights away per month" and "adequate access to professional development". On the other hand, the least valued attribute levels were "travel arrangements: four or more nights per month", "limited autonomy of practice" and "minimal access to professional development". Except for "some job flexibility", all other attributes had a statistical influence on AHPs' job preference. Preferences differed according to age, marital status and having dependent children. Conclusions: This study allowed the identification of factors that contribute to AHPs' employment decisions about staying and working in a rural area. This information can improve job designs in rural areas to increase retention.

KW - Australia

KW - Best-worst scaling

KW - Disability

KW - Preferences

KW - Retention

KW - Rural

KW - Allied Health Personnel/supply & distribution

KW - Humans

KW - Middle Aged

KW - Personnel Turnover

KW - Workforce

KW - Male

KW - Job Satisfaction

KW - Young Adult

KW - Motivation

KW - Rural Population

KW - Work

KW - Adult

KW - Female

KW - Decision Making

KW - Attitude of Health Personnel

KW - Cross-Sectional Studies

KW - Logistic Models

KW - Aged

KW - Personnel Loyalty

KW - Disabled Persons

KW - Rural Health Services

UR - http://www.scopus.com/inward/record.url?scp=84933503070&partnerID=8YFLogxK

UR - http://www.mendeley.com/research/i-stay-i-go-exploring-job-preferences-allied-health-professionals-working-people-disability-rural-au-1

U2 - 10.1186/s12960-015-0047-x

DO - 10.1186/s12960-015-0047-x

M3 - Article

VL - 13

SP - 1

EP - 13

JO - Human Resources for Health

JF - Human Resources for Health

SN - 1478-4491

IS - 1

ER -