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Investigating the sustainability of careers in academic primary care: a UK survey
- 作者:Raff Calitri ; Ann Adams ; Helen Atherton ; Joanne Reeve ; Nathan R Hill
- 关键词:Sustainability of careers ; Barriers to academic primary care careers ; Career pathways in academic primary care
- 刊名:BMC Family Practice
- 出版年:2014
- 出版时间:December 2014
- 年:2014
- 卷:15
- 期:1
- 全文大小:220 KB
- 参考文献:Primary Health Now More than Ever. Book Primary Health Now More than Ever.
1. The Lancet Making primary care people-centred: a 21st century blueprint. / Lancet 2014, 384:281. 2. Starfield, B, Shi, LY, Macinko, J (2005) Contribution of primary care to health systems and health. Milbank Q 83: pp. 457-502 CrossRef 3. Kringos, DS, Boerma, WGW, Hutchinson, A, Zee, J, Groenewegen, PP (2010) The breadth of primary care: a systematic literature review of its core dimensions. BMC Health Serv Res 10: pp. 65 CrossRef SAPC Position Statement. Book SAPC Position Statement. 4. Hobbs, FR, Taylor, CJ (2014) Academic primary care: at a tipping point?. Brit J Gen Pract 64: pp. 214-215 CrossRef 5. Glanville, J, Kendrick, T, McNally, R, Campbell, J, Hobbs, FR (2011) Research output on primary care in Australia, Canada, Germany, the Netherlands, the United Kingdom, and the United States: bibliometric analysis. BMJ 342: pp. d1028 CrossRef 6. Basic research for primary care: A discussion paper. [uk/index.php/reports/123-blue-sky-research-in-primary-care" class="a-plus-plus">http://www.sapc.ac.uk/index.php/reports/123-blue-sky-research-in-primary-care] 7. Adams, A, Lester, H, Reeve, J, Roberts, J, Wilson, A (2014) Investigating the sustainability of careers in academic primary care in the United Kingdom. Prim Health Care Res Dev 15: pp. 331-335 CrossRef 8. Smith, S, Ward, V, House, A (2011) ‘Impact-in the proposals for the UK's Research Excellence Framework: Shifting the boundaries of academic autonomy. Res Policy 40: pp. 1369-1379 CrossRef 9. The King’s Fund and Nuffield Trust. Securing the Future of General Practice: New Models of Primary Care. [uk/publications/securing-future-general-practice" class="a-plus-plus">http://www.nuffieldtrust.org.uk/publications/securing-future-general-practice] 10. UK Government: Heath and Social Care Act 2012 c.7. [uk/ukpga/2012/7/contents/enacted" class="a-plus-plus">http://www.legislation.gov.uk/ukpga/2012/7/contents/enacted] 11. Academic Careers Sub-Committee of Modernising Medical Careers and the UK Clinical Research Collaboration. Medically- and dentally-qualified academic staff: recommendations for training the researchers and educators of the future (the ‘Walport Report-. In / Book Academic Careers Sub-Committee of Modernising Medical Careers and the UK Clinical Research Collaboration. Medically- and dentally-qualified academic staff: recommendations for training the researchers and educators of the future (the ‘Walport Report-; 2005. 12. Primary healthcare Scientists section. [uk/index.php/supporting-apc/multidisciplinary-researchers" class="a-plus-plus">http://www.sapc.ac.uk/index.php/supporting-apc/multidisciplinary-researchers] 13. Equality Challenge Unit Athena SWAN charter. [uk/equality-charter-marks/athena-swan/" class="a-plus-plus">http://www.ecu.ac.uk/equality-charter-marks/athena-swan/] 14. Barton C, Reeve J, Adams A, McIntyre E: Australian Academic Primary Health Care Careers: a scoping survey. / Aust J Prim Health 2014. In Press. 15. Kavallaris, M, Meachem, SJ, Hulett, MD, West, CM, Pitt, RE, Chesters, JJ, Laffan, WS, Boreham, PR, Khachigian, LM (2008) Perceptions in health and medical research careers: the Australian Society for Medical Research Workforce Survey. Med J Australia 188: pp. 520-524 Blueprint for Family Medicine Research Success. Book Blueprint for Family Medicine Research Success. 16. New century, new challenges, report from the Heads of Departments of General Practice and Primary Care in the Medical Schools of the United Kingdom. [uk/index.php/reports" class="a-plus-plus">http://www.sapc. - 刊物主题:General Practice / Family Medicine; Primary Care Medicine;
- 出版者:BioMed Central
- ISSN:1471-2296
文摘
Background The UK National Health Service (NHS) is undergoing institutional reorganisation due to the Health and Social Care Act-2012 with a continued restriction on funding within the NHS and clinically focused academic institutions. The UK Society for Academic Primary Care (SAPC) is examining the sustainability of academic primary care careers within this climate and preliminary qualitative work has highlighted individual and organisational barriers. This study seeks to quantify the current situation for academics within primary care. Methods A survey of academic primary care staff was undertaken. Fifty-three academic primary care departments were selected. Members were invited to complete a survey which contained questions about an individual’s career, clarity of career pathways, organisational culture, and general experience of working within the area. Data were analysed descriptively with cross-tabulations between survey responses and career position (early, mid-level, senior), disciplinary background (medical, scientist), and gender. Pearson chi-square test was used to determine likelihood that any observed difference between the sets arose by chance. Results Responses were received from 217 people. Career pathways were unclear for the majority of people (64%) and 43% of the workforce felt that the next step in their career was unclear. This was higher in women (52% vs. men 25%; χ2(3)--4.76; p--.002) and higher in those in early career (50% vs. senior career, 25%) and mid-career(45%; vs. senior career; χ2(6)--9.19, p--.001). The workforce appeared geographically static but unstable with only 50% of people having their contract renewed or extended. The majority of people (59%) have never been promoted by their institution. There were perceptions of gender equality even in the context of females being underrepresented in senior positions (19% vs. males 39%; χ2(3)--.43, p--.015). Despite these findings, the majority of the workforce reported positive organisational and cultural experiences. Conclusions Sustainability of a academic primary care career is undermined by unclear pathways and a lack of promotion. If the discipline is to thrive, there is a need to support early and mid-career individuals via greater transparency of career pathways. Despite these findings staff remained positive about their careers.
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