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Table 2 Overall mean scores for importance, advantages/challenges, and community Apgar scores

From: Exploring healthcare provider retention in a rural and frontier community in Northern Idaho

 

Advantage or Challengea

Importanceb

Apgar Scorec

Economic class

   

Part-time Opportunities

-0.27

2.7

-0.73

Loan Repayment

0.20

3.1

0.62

Salary (Amount)

0.17

3.4

0.58

Signing Bonus/Moving Expenses

0.34

3.0

1.0

Length of Contract Flexibility

0.21

2.9

0.62

Perceived Fiscal Stability

0.17

3.3

0.56

Production Incentive

0.20

3.1

0.61

Retirement Package

0.37

3.2

1.2

CME Benefit

0.63

3.1

2.0

Competition

0.10

2.7

0.27

Facility and community support class

   

Physical plant and equipment

0.13

3.2

0.42

Plans for capital investment

0.10

3.1

0.31

Electronic medical records

-0.77

3.4

-2.6

Leadership

0.40

3.4

1.4

Televideo support

-0.53

2.9

-1.6

Community need/support

0.53

3.2

1.7

Welcome and recruitment program

0.54

2.7

1.5

Medical reference resources

2.0

2.9

5.9

Delegated patient services

0.21

2.9

0.60

Moonlighting opportunities

0.27

2.6

0.69

Geographic class

   

Access to larger community

-0.70

2.6

-1.8

Demographics: underserved/pay or mix

-0.77

2.8

-2.1

Housing (availability and/or affordability)

-1.2

3.2

-3.7

Schools

-0.25

3.2

-0.81

Social networking

-0.47

2.7

-1.3

Recreational opportunities

1.3

3.3

4.3

Spousal satisfaction (education, work, general)

-0.34

3.5

-1.2

Shopping and other services

-0.77

2.6

-2.0

Climate

0.60

2.8

1.7

Perception of Community

-0.10

2.8

-0.28

Medical support class

   

Perception of quality

0.77

3.5

2.7

Stability of physician workforce

0.33

3.4

1.1

Specialist availability

-0.31

3.1

-0.95

Nursing workforce

-0.31

3.5

-1.1

Mid-level provider workforce

0.62

3.0

1.9

Ancillary staff workforce

0.30

3.1

0.92

Pharmacy services

0.31

3.1

0.97

Allied mental health workforce

-0.10

3.3

-0.33

Language support services

-0.24

2.8

-0.66

Call/practice coverage

0.03

3.5

0.10

Scope of practice class

   

Obstetrics: prenatal care

0.79

3.1

2.5

Obstetrics: deliveries/C-section

0.79

3.1

2.5

Inpatient care

0.87

3.3

2.9

Emergency/stabilization care

0.86

3.3

2.9

Minor trauma (casting/suturing)

0.86

3.1

2.7

Office GYN procedures

0.61

2.9

1.8

Mental health

-0.17

3.2

-0.55

Mid-level supervision

0.30

2.8

0.84

Teaching

0.76

3.1

2.4

Administration

0.23

3.1

0.71

  1. aMean scores were calculated based on a -2 to 2 scale where -2 = major challenge, -1 = minor challenge, 1 = minor advantage, and 2 = major advantage
  2. bMean scores were calculated based on a 1 to 4 scale where 1 = very unimportant, 2 = unimportant, 3 = important, and 4 = very important
  3. cApgar scores were calculated by multiplying importance scores by advantage/challenge scores to create the weighted ‘Apgar’ score (Importance x Advantage/Challenge = Apgar)