Priorities for family physician and general practitioner recruitment and retention in Singapore: a PRIORITIZE study

Abstract Background A shortage of primary care physicians has been reported in many countries. Primary care systems are diverse and the challenges leading to a decline in workforce are at times context-specific and require tailored solutions. Inviting frontline clinicians to share their insights can...

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Autores principales:	Lorainne Tudor Car, Yee Sean Teng, Jin Wei How, Nadia Nasuha Binte Mohammad Nazri, Amy Li Xian Tan, Joanne Quah, Stephen Peckham, Helen Smith
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Priority-setting Primary care Recruitment Retention Workforce General practitioners Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d8660287fdec406193063a8aa3b2f060
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spelling	oai:doaj.org-article:d8660287fdec406193063a8aa3b2f0602021-11-21T12:32:34ZPriorities for family physician and general practitioner recruitment and retention in Singapore: a PRIORITIZE study10.1186/s12875-021-01570-11471-2296https://doaj.org/article/d8660287fdec406193063a8aa3b2f0602021-11-01T00:00:00Zhttps://doi.org/10.1186/s12875-021-01570-1https://doaj.org/toc/1471-2296Abstract Background A shortage of primary care physicians has been reported in many countries. Primary care systems are diverse and the challenges leading to a decline in workforce are at times context-specific and require tailored solutions. Inviting frontline clinicians to share their insights can help identify optimal strategies for a particular setting. To determine priorities for family physicians’ and general practitioners’ recruitment and retention in Singapore, we invited primary care physicians to rank pertinent strategies using PRIORITIZE, a transparent, systematic priority-setting approach. Methods The study advisory board, consisting of representatives of Singapore’s key primary care stakeholders, determined the criteria for prioritising of general practitioners (GPs) and family physicians (FPs) recruitment and retention strategies in Singapore. A comprehensive list of GPs and FPs recruitment and retention strategies was extracted from a recent systematic review of the relevant literature. A questionnaire listing the strategies and the scoring criteria was administered online to doctors practicing in public and private sector in Singapore. Respondents’ scores were combined to create a ranked list of locally most relevant strategies for improving GPs and FPs recruitment and retention. Results We recruited a diverse sample of 50 GPs and FPs practicing in a variety of primary care settings, many with a range of additional professional responsibilities. Around 60 and 66% of respondents thought that there was a problem with recruitment and retention of GPs and FPs in Singapore, respectively. Strategies focusing on promoting primary care by emphasizing the advantages and enhancing the status of the profession as well as training-related strategies, such as sub-specialisation and high-quality rotations were considered priorities for improving recruitment. For retention of GPs and FPs, improving working conditions by increasing GPs’ and FPs’ salary and recognition, as well as varying or reducing time commitment, were seen as the most important strategies. The ranking between physicians working in public and private sector was mostly similar, with nine out of the top ten recruitment and retention strategies being the same. Conclusion Primary care physicians’ ranking of recruitment and retention strategies for GPs and FPs in Singapore provide important insight into the challenges and the solutions as seen by the members of the profession themselves. This information can guide future policy and decision making in this area.Lorainne Tudor CarYee Sean TengJin Wei HowNadia Nasuha Binte Mohammad NazriAmy Li Xian TanJoanne QuahStephen PeckhamHelen SmithBMCarticlePriority-settingPrimary careRecruitmentRetentionWorkforceGeneral practitionersMedicine (General)R5-920ENBMC Family Practice, Vol 22, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Priority-setting Primary care Recruitment Retention Workforce General practitioners Medicine (General) R5-920
spellingShingle	Priority-setting Primary care Recruitment Retention Workforce General practitioners Medicine (General) R5-920 Lorainne Tudor Car Yee Sean Teng Jin Wei How Nadia Nasuha Binte Mohammad Nazri Amy Li Xian Tan Joanne Quah Stephen Peckham Helen Smith Priorities for family physician and general practitioner recruitment and retention in Singapore: a PRIORITIZE study
description	Abstract Background A shortage of primary care physicians has been reported in many countries. Primary care systems are diverse and the challenges leading to a decline in workforce are at times context-specific and require tailored solutions. Inviting frontline clinicians to share their insights can help identify optimal strategies for a particular setting. To determine priorities for family physicians’ and general practitioners’ recruitment and retention in Singapore, we invited primary care physicians to rank pertinent strategies using PRIORITIZE, a transparent, systematic priority-setting approach. Methods The study advisory board, consisting of representatives of Singapore’s key primary care stakeholders, determined the criteria for prioritising of general practitioners (GPs) and family physicians (FPs) recruitment and retention strategies in Singapore. A comprehensive list of GPs and FPs recruitment and retention strategies was extracted from a recent systematic review of the relevant literature. A questionnaire listing the strategies and the scoring criteria was administered online to doctors practicing in public and private sector in Singapore. Respondents’ scores were combined to create a ranked list of locally most relevant strategies for improving GPs and FPs recruitment and retention. Results We recruited a diverse sample of 50 GPs and FPs practicing in a variety of primary care settings, many with a range of additional professional responsibilities. Around 60 and 66% of respondents thought that there was a problem with recruitment and retention of GPs and FPs in Singapore, respectively. Strategies focusing on promoting primary care by emphasizing the advantages and enhancing the status of the profession as well as training-related strategies, such as sub-specialisation and high-quality rotations were considered priorities for improving recruitment. For retention of GPs and FPs, improving working conditions by increasing GPs’ and FPs’ salary and recognition, as well as varying or reducing time commitment, were seen as the most important strategies. The ranking between physicians working in public and private sector was mostly similar, with nine out of the top ten recruitment and retention strategies being the same. Conclusion Primary care physicians’ ranking of recruitment and retention strategies for GPs and FPs in Singapore provide important insight into the challenges and the solutions as seen by the members of the profession themselves. This information can guide future policy and decision making in this area.
format	article
author	Lorainne Tudor Car Yee Sean Teng Jin Wei How Nadia Nasuha Binte Mohammad Nazri Amy Li Xian Tan Joanne Quah Stephen Peckham Helen Smith
author_facet	Lorainne Tudor Car Yee Sean Teng Jin Wei How Nadia Nasuha Binte Mohammad Nazri Amy Li Xian Tan Joanne Quah Stephen Peckham Helen Smith
author_sort	Lorainne Tudor Car
title	Priorities for family physician and general practitioner recruitment and retention in Singapore: a PRIORITIZE study
title_short	Priorities for family physician and general practitioner recruitment and retention in Singapore: a PRIORITIZE study
title_full	Priorities for family physician and general practitioner recruitment and retention in Singapore: a PRIORITIZE study
title_fullStr	Priorities for family physician and general practitioner recruitment and retention in Singapore: a PRIORITIZE study
title_full_unstemmed	Priorities for family physician and general practitioner recruitment and retention in Singapore: a PRIORITIZE study
title_sort	priorities for family physician and general practitioner recruitment and retention in singapore: a prioritize study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/d8660287fdec406193063a8aa3b2f060
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Priorities for family physician and general practitioner recruitment and retention in Singapore: a PRIORITIZE study

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