Article Gold Open Access 2022

Commitments, Conditions and Corruption: An Interpretative Phenomenological Analysis of Physician Recruitment and Retention Experiences in Indonesia

International Journal of Environmental Research and Public Health
Journal · Vol. 19 · Issue 9 · Art. 5518
Abstract

Complex factors influence physicians’ decisions to remain in rural and remote (RR) practice. Indonesia, particularly, has various degrees of poor governance contributing to physicians’ decisions to stay or leave RR practice. However, there is a paucity of literature exploring the phenomenon from the perspective of Indonesian RR physicians. This study explores physicians’ lived experiences working and living in Indonesian RR areas and the motivations that underpin their decisions to remain in the RR settings. An interpretative phenomenological analysis was utilised to explore the experiences of 26 consenting voluntary participants currently working in the RR areas of Maluku Province. A focus group discussion was undertaken with post-interns (n = 7), and semi-structured interviews were undertaken with junior (n = 9) and senior physicians (n = 10) working in district hospitals and RR health centres. Corruption was identified as an overarching theme that was referred to in all of the derived themes. Corruption adversely affected physicians’ lives, work and careers and influenced their motivation to remain working in Indonesia’s RR districts. Addressing the RR workforce shortage requires political action to reduce corruptive practice in the districts’ governance. Establishing a partnership with regional medical schools could assist in implementing evidence-based strategies to improve workforce recruitment, development, and retention of the RR medical workforce. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

Author Keywords

recruitment and retention Medical Workforce Shortage Rural and Remote phenomenology unethical governance work motivation and satisfaction

Index Keywords

adult female human male Humans Article ethics motivation Personnel selection Indonesia physician rural area career human experiment medical school Physicians satisfaction clinical article semi structured interview working conditions workforce governance approach personal experience personnel management labor supply recruitment (employment) phenomenology personnel shortage rural health care Rural Health Services corruption health worker public hospital health center Maluku [Indonesia]
Author Affiliations
Division of Health Professions Education, The University of Western Australia, Perth, WA, Australia, Medical Education Unit, Universitas Pattimura, Kota Ambon, Maluku, Indonesia, The University of Western Australia, Perth, WA, Australia
Division of Health Professions Education, The University of Western Australia, Perth, WA, Australia
The University of Western Australia, Perth, WA, Australia
Funding & Acknowledgements
Australian Government
The more remote the area, the greater the incentive. That’s a promise from the district. I’m definitely interested in it. Everyone is interested. For example, Nusantara Sehat (a temporary health employment scheme funded by the MoH) from the Ministry was given incentives from the district of IDR 3,600,000-IDR. 3,800,000 per month apart from their salaries of tens of millions. With that sum of money, we must be very tempted. (PI5)
Department of Health, Australian Government
The more remote the area, the greater the incentive. That’s a promise from the district. I’m definitely interested in it. Everyone is interested. For example, Nusantara Sehat (a temporary health employment scheme funded by the MoH) from the Ministry was given incentives from the district of IDR 3,600,000-IDR. 3,800,000 per month apart from their salaries of tens of millions. With that sum of money, we must be very tempted. (PI5)
References 10 References
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7 Regulation of the Minister of Health of the Republic of Indonesia Number 6 of the Year 2013 Concerning the Criteria for Remote Very Remote and Unattractive Health Care Facilities, (2013)
8 Basic Health Research, (2013)
9 Maternal Mortality, (2025)
10 Child Survival and the Sdgs
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