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  1. Health personnel needs and attitudes to rural service in KwaZulu-Natal.

    Article - En anglais

    Objectives

    To ascertain the urban/rural distribution of health personnel and the opinions of the medical fraternity in KwaZulu-Natal on compulsory rural service for medical practitioners.

    Design

    Cross-sectional analysis of geographical distribution of health personnel in KwaZulu-Natal based on 1991/92 South African Medical and Dental Council, South African Nursing Council and Pharmacy Council registration data.

    Opinion survey by administration of a structured questionnaire to a simple, random sample of private practitioners, academic consultants, postgraduate and undergraduate medical students and key informants in senior health service management in KwaZulu-Natal.

    Results

    Peripheral rural areas had health personnel/population ratios higher than or equivalent to those of urban areas, whereas the ratios were 15 - 40 times lower in deep rural areas.

    The key finding of the opinion survey was that the majority of all sectors except fifth-year medical students felt that rural service should be compulsory, either post-internship, prior to specialisation or prior to entry into private practice.

    However, respondents were significantly more likely to agree to rural service that would not affect them personally.

    The majority (54 - 87%) of all'sectors felt that an option of'buying out'of rural service should not be permitted.

    Respondents identified a range of financial, health service, academic, infrastructural and social incentives for rural practice. (...)

    Mots-clés Pascal : Répartition géographique, Zone rurale, Zone urbaine, Personnel sanitaire, République Sud Africaine, Afrique, Homme, KwaZulu-Natal

    Mots-clés Pascal anglais : Geographic distribution, Rural area, Urban area, Health staff, South Africa, Africa, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0273469

    Code Inist : 002B30A05. Création : 15/07/1997.