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      What about the workers? The missing geographies of health care

      1 , 2
      Progress in Human Geography
      SAGE Publications

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          Abstract

          Geographies of health have neglected relevant consideration of health human resources. Five developments in the sub-discipline are examined to demonstrate how health labour has been neglected. Three research themes, circulation, regulation and distribution, are then presented to indicate the value of a greater focus on health workers for the geography of health, and we suggest that deeper analytical engagement with labour and feminist geographies can support this. Each theme points to the increasingly global organization of health care and the need for health geographers to seriously examine the role of health workers during a period of health transformation, globalization, and privatization.

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          THE INVERSE CARE LAW

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            Global production networks: realizing the potential

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              Systematic review of effective retention incentives for health workers in rural and remote areas: towards evidence-based policy.

              Poor retention of health workers is a significant problem in rural and remote areas, with negative consequences for both health services and patient care. This review aimed to synthesise the available evidence regarding the effectiveness of retention strategies for health workers in rural and remote areas, with a focus on those studies relevant to Australia. A systematic review method was adopted. Six program evaluation articles, eight review articles and one grey literature report were identified that met study inclusion/exclusion criteria. While a wide range of retention strategies have been introduced in various settings to reduce unnecessary staff turnover and increase length of stay, few have been rigorously evaluated. Little evidence demonstrating the effectiveness of any specific strategy is currently available, with the possible exception of health worker obligation. Multiple factors influence length of employment, indicating that a flexible, multifaceted response to improving workforce retention is required. This paper proposes a comprehensive rural and remote health workforce retention framework to address factors known to contribute to avoidable turnover. The six components of the framework relate to staffing, infrastructure, remuneration, workplace organisation, professional environment, and social, family and community support. In order to ensure their effectiveness, retention strategies should be rigorously evaluated using appropriate pre- and post-intervention comparisons.
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                Author and article information

                Journal
                Progress in Human Geography
                Progress in Human Geography
                SAGE Publications
                0309-1325
                1477-0288
                April 2016
                February 18 2015
                April 2016
                : 40
                : 2
                : 158-176
                Affiliations
                [1 ]The University of Sydney, Australia
                [2 ]The Balsillie School of International Affairs, Waterloo, ON, Canada
                Article
                10.1177/0309132515570513
                97dba33a-f97e-4f8d-b2cf-9c503eeed065
                © 2016

                http://journals.sagepub.com/page/policies/text-and-data-mining-license

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