Reasonable working conditions which include a balance between work, on call and free time are essential if doctors are to spend extended periods in rural practice. This requires sufficient local back-up and locum relief to allow doctors to take care of themselves. Adequate financial rewards which recognise the complexity and degree of clinical responsibility accepted by rural doctors are an important incentive.
Strategies
Targeted financial support for rural practice such as:
3.1.1 Funding models that provide security and flexibility
for the doctor and recognise the physician as a community resource.
3.1.2 Additional payments to rural practitioners in recognition
of higher level of clinical responsibility, services provided and on call demands.
Example, specific remuneration of the rural consultation.
3.1.3 Specific incentive payments for practising in isolated/underserved
areas.
3.1.4 Financial assistance to maintain the economic viability
of at least two doctors working together in a rural location.
3.1.5 Funding for travel and other costs for the doctor to
attend continuing medical education.
3.1.6 Support and incentives for rural doctors' spouses
and families. Example, travel support, spousal allowance to compensate for loss
of career opportunities.
3.1.7 Suitable adequate and effective financial incentives
should be highlighted for international dissemination.