Factors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study

Abstract Background To address the maldistribution of healthcare providers and the shortage of physicians in geographically isolated and disadvantaged areas of the Philippines, the Philippine National Rural Physician Deployment Program, or more commonly known as the Doctors to the Barrios (DTTB) pro...

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Autores principales:	Erika Louise L. Flores, Edric Matthew R. Manahan, Miguel Paulo B. Lacanilao, Isabella Ma. Beatriz T. Ladaw, Mico Martin B. Mallillin, Nikolai Thadeus Q. Mappatao, Juan Alfonso Leonardia, Veincent Christian F. Pepito
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Retention Doctors to the barrios Rural health Health workforce Human resources for health Philippines Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e4133ee7edba42a1a5781bd03e922ebf
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spelling	oai:doaj.org-article:e4133ee7edba42a1a5781bd03e922ebf2021-11-07T12:11:33ZFactors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study10.1186/s12913-021-07219-01472-6963https://doaj.org/article/e4133ee7edba42a1a5781bd03e922ebf2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07219-0https://doaj.org/toc/1472-6963Abstract Background To address the maldistribution of healthcare providers and the shortage of physicians in geographically isolated and disadvantaged areas of the Philippines, the Philippine National Rural Physician Deployment Program, or more commonly known as the Doctors to the Barrios (DTTB) program was established in 1993. However, as of 2011, only 18% of the DTTBs chose to stay in their assigned municipalities after their two-year deployment, termed retention. This study aims to identify the individual, local, work, national, and international factors affecting the retention of DTTBs in their assigned communities after their two-year deployment. Methods A descriptive, mixed-methods, explanatory design was used. For the quantitative part, the modified and updated Stayers Questionnaire was given to all current DTTBs present in a Continuing Medical Education session in the Development Academy of the Philippines. Descriptive statistics were then presented. For the qualitative part, individual, semi-structured key informant interviews were conducted in-person or via phone with current and alumni DTTBs from 2012 to 2019. Proceedings of the interviews were transcribed, translated, and analyzed thematically. Results 102 current DTTBs participated in the quantitative part of our study, while 10 current and former DTTBs participated in the interviews. Demographic factors and location, personal beliefs, well-being, friends and family dynamics, and perceptions about work were the individual factors identified to affect retention. Social working conditions, career development, and infrastructure, medical equipment, and supplies were among the work factors identified to affect retention. Geography, living conditions, local social needs, and technology were among the local factors identified to affect retention. Compensation, the recently signed Universal Healthcare Law, and Safety and Security were identified as national factors that could affect retention. International factors did not seem to discourage DTTBs from staying in their communities. Conclusions A host of individual, work-related, local, national, and international factors influence the DTTB’s decision to be retained in different, complex, interconnected, and dynamic ways. We also identified implementation issues in the DTTB program and suggested interventions to encourage retention.Erika Louise L. FloresEdric Matthew R. ManahanMiguel Paulo B. LacanilaoIsabella Ma. Beatriz T. LadawMico Martin B. MallillinNikolai Thadeus Q. MappataoJuan Alfonso LeonardiaVeincent Christian F. PepitoBMCarticleRetentionDoctors to the barriosRural healthHealth workforceHuman resources for healthPhilippinesPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Retention Doctors to the barrios Rural health Health workforce Human resources for health Philippines Public aspects of medicine RA1-1270
spellingShingle	Retention Doctors to the barrios Rural health Health workforce Human resources for health Philippines Public aspects of medicine RA1-1270 Erika Louise L. Flores Edric Matthew R. Manahan Miguel Paulo B. Lacanilao Isabella Ma. Beatriz T. Ladaw Mico Martin B. Mallillin Nikolai Thadeus Q. Mappatao Juan Alfonso Leonardia Veincent Christian F. Pepito Factors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study
description	Abstract Background To address the maldistribution of healthcare providers and the shortage of physicians in geographically isolated and disadvantaged areas of the Philippines, the Philippine National Rural Physician Deployment Program, or more commonly known as the Doctors to the Barrios (DTTB) program was established in 1993. However, as of 2011, only 18% of the DTTBs chose to stay in their assigned municipalities after their two-year deployment, termed retention. This study aims to identify the individual, local, work, national, and international factors affecting the retention of DTTBs in their assigned communities after their two-year deployment. Methods A descriptive, mixed-methods, explanatory design was used. For the quantitative part, the modified and updated Stayers Questionnaire was given to all current DTTBs present in a Continuing Medical Education session in the Development Academy of the Philippines. Descriptive statistics were then presented. For the qualitative part, individual, semi-structured key informant interviews were conducted in-person or via phone with current and alumni DTTBs from 2012 to 2019. Proceedings of the interviews were transcribed, translated, and analyzed thematically. Results 102 current DTTBs participated in the quantitative part of our study, while 10 current and former DTTBs participated in the interviews. Demographic factors and location, personal beliefs, well-being, friends and family dynamics, and perceptions about work were the individual factors identified to affect retention. Social working conditions, career development, and infrastructure, medical equipment, and supplies were among the work factors identified to affect retention. Geography, living conditions, local social needs, and technology were among the local factors identified to affect retention. Compensation, the recently signed Universal Healthcare Law, and Safety and Security were identified as national factors that could affect retention. International factors did not seem to discourage DTTBs from staying in their communities. Conclusions A host of individual, work-related, local, national, and international factors influence the DTTB’s decision to be retained in different, complex, interconnected, and dynamic ways. We also identified implementation issues in the DTTB program and suggested interventions to encourage retention.
format	article
author	Erika Louise L. Flores Edric Matthew R. Manahan Miguel Paulo B. Lacanilao Isabella Ma. Beatriz T. Ladaw Mico Martin B. Mallillin Nikolai Thadeus Q. Mappatao Juan Alfonso Leonardia Veincent Christian F. Pepito
author_facet	Erika Louise L. Flores Edric Matthew R. Manahan Miguel Paulo B. Lacanilao Isabella Ma. Beatriz T. Ladaw Mico Martin B. Mallillin Nikolai Thadeus Q. Mappatao Juan Alfonso Leonardia Veincent Christian F. Pepito
author_sort	Erika Louise L. Flores
title	Factors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study
title_short	Factors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study
title_full	Factors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study
title_fullStr	Factors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study
title_full_unstemmed	Factors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study
title_sort	factors affecting retention in the philippine national rural physician deployment program from 2012 to 2019: a mixed methods study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e4133ee7edba42a1a5781bd03e922ebf
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Factors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study

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