‘Being in a place where it matters’: GPs who do and do not work in Aboriginal Health Services

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dc.contributor.authorPrentice, S.
dc.contributor.authorBarrett, A.
dc.contributor.authorBenson, J.
dc.contributor.authorElliott, T.
dc.date.issued2024
dc.descriptionPublished: 1 September 2023
dc.description.abstractBackground. Few general practitioners (GPs) pursue a career in Aboriginal and Torres Strait Islander health. This research examined factors motivating Australian General Practice Training Program (AGPT) graduates to remain in, or leave, Aboriginal Medical Services (AMSs). Methods. AGPT graduates who remained (n = 11) and left (n = 9) AMSs after placements participated in semi-structured interviews across two studies. Thematic analysis informed by grounded theory was employed. Results. Both participant groups highlighted similar motivations for requesting an AMS placement, particularly their interest in Aboriginal health or culture. Participants enjoyed organisational structures and relationships, and faced similar barriers to working in AMSs. Those who left placed greater emphasis on the politics and bureaucracy, and unpredictability, and also faced the barrier of ties to their current practice. Those who remained in Aboriginal health more proactively addressed barriers and had a more external view of barriers. Conclusions. Factors influencing career decisions of GPs in Aboriginal health overlap with those for GPs in rural and other under-served areas. Training providers can better prepare (e.g. more comprehensive orientations) and support registrars during their placements (e.g. greater mentoring). Registrars’ perceptions of, and reactions to, barriers may be pivotal in determining whether they remain in Aboriginal health. This article provides guidance for training providers to better support AMS registrars and encourage more GPs to work in this sector.
dc.description.statementofresponsibilityShaun Prentice, Alexandra Barrett, Jill Benson and Taryn Elliott
dc.identifier.citationAustralian Journal of Primary Health, 2024; 30(1):PY23105-1-PY23105-7
dc.identifier.doi10.1071/py23105
dc.identifier.issn1448-7527
dc.identifier.issn1836-7399
dc.identifier.orcidPrentice, S. [0000-0002-9403-7861]
dc.identifier.urihttps://hdl.handle.net/2440/139733
dc.language.isoen
dc.publisherCSIRO Publishing
dc.rights© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons AttributionNonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).
dc.source.urihttps://doi.org/10.1071/py23105
dc.subjectAboriginal health; Australia; career motivation; general practice; interviews; medical specialty training; prevocational medical training; qualitative research; under-served populations
dc.title‘Being in a place where it matters’: GPs who do and do not work in Aboriginal Health Services
dc.typeJournal article
pubs.publication-statusPublished

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