Recruitment and Retention of Remote and Rural Health Care Staff in Iceland
This project aims to enhance cooperation between a hospital and Akureyri municipality in recruiting health care professionals in Northern Iceland. By implementing a Seven Steps approach, the project seeks to improve medical staffing sustainability. The focus is on increasing permanent tenures and addressing specific needs of newcomers to the region, contributing to overall recruitment and retention efforts in rural and remote areas.
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Recruitment and Retention of Remote and Rural Health Care staff: Making it Work ICELAND Business Case Hildigunnur Svavarsdottir & Sigurdur E. Sigurdsson Hildigunnur Svavarsdottir & Sigurdur E. Sigurdsson
Background Why has the project being proposed? There was an opportunity to enhance the cooperation between the hospital and the Akureyri municipality when it comes to recruiting people. Cooperation would work far better then none => 1 + 1 = 3 Providing information about how to work AND ANDlive the life in this town What problem/opportunity to organize better important information to newcomers to gain information about the needs of newcomers opportunity has been indentified to prompt the project?
Target Region/location(s) demographics Geography Northern and part of eastern health care area in Iceland but focussing on Akureyri the capital of the north to start with Population Demographics catchment area 40.000 inhabitants / Akureyri 18.500 inhabitants Health Demographics Life expectancy is 82 years (1 year higher then the region median) Health expenditure per capita is lower then all MIW partner countries Infrastructure and services/amenities Current economic growth ...
Aims What is the main aim of the project? The aim is to improve medical (healthcare) staffing and make it sustainable. The implementation takes place through the Seven steps approach including the municipality in the process In what ways is this project specifically contributing to overall aim of RR2:MIW (i.e. improving recruitment and retention in the NPA)? There are signals of better medical staffing in our hospital directly linked with the application of this model (one anesthesiologist / 2 surgeons)
Outputs What are the outputs for the project? Better medical staffing What indicators will you use to determine if outputs have been achieved? The goal is to increase permanent tenures (now 52) by 7 in 2017, by further 3 in 2018 and 2 in 2019.
Recruit and retain business model STEPS ACTIONS Yearly meetings with newly graduated junior doctors. Yearly visits to main sites where Icelandic doctors are studying abroad for specialist degree. 1 Specialist physicians 2 Introductory video on website and Youtube / Survey among doctors in hospital to realize specific needs / Meetings abroad (see yearly wheel) 3 Representative from municipality already working with the project. Introductory meeting with key persons in the municipality. 4 Involve family members in introduction to municipality / Financial support for moving costs and accommodation 5 Meet the need of continuing education and specific measures for young specialists. 6 Allocate money to specific Products and Services / Allocate part of HR officer time for project. 7
Benefits/Limitations Benefits/Limitations What are the benefits of the project? The hiring of specialists / cooperation with the municipality / better relationship to the group of doctors who may feel wanted How will these be quantified? In the number of specialists hired What are the limitations of the project? Finance / other more exciting opportunities for the doctors Compare the benefit of project compared to doing nothing . The project has given us more ideas and proven concepts to use in addition to our traditional way of recruiting physicians. Doing nothing is not an option.
Finance Finance What are the financial implications? The cost of travelling inland / abroad. The support cost of doctors / families Is there an initial cost out-lay? For the travelling and the result of hiring What are the project costs vs forecast financial benefits? They are less as the cost of locum is so much higher Is the project affordable and value for money? Affordable? Do we afford not to do this? Definitely value for money Is there a long term cost saving? YES due to the reasons above
Approach and Resources Approach and Resources How is the work to be done/what resources are required? Mainly human resources to allocate time for organization of the meetings / annual wheel / visits etc Financial resources for travelling / support cost Are there other relevant related initiatives is this part of larger project? Are there other dependencies? The benefit / learning from this can be applied to other health care professionals who might need similar approach thus a radiating effect
