Settlements at the Edge
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Settlements at the Edge

Remote Human Settlements in Developed Nations

Edited by Andrew Taylor, Dean B. Carson, Prescott C. Ensign, Lee Huskey, Rasmus O. Rasmussen and Gertrude Saxinger

Settlements at the Edge examines the evolution, characteristics, functions and shifting economic basis of settlements in sparsely populated areas of developed nations. With a focus on demographic change, the book features theoretical and applied cases which explore the interface between demography, economy, well-being and the environment. This book offers a comprehensive and insightful knowledge base for understanding the role of population in shaping the development and histories of northern sparsely populated areas of developed nations including Alaska (USA), Australia, Canada, Greenland, Norway, Russia, Sweden, Finland and other nations with territories within the Arctic Circle.
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Chapter 14: Recruitment and retention of professional labour: the health workforce at settlement level

Dean B. Carson, Elizabeth Wenghofer, Patrick Timony, Adrian Schoo, Peter Berggren and Brian Charters


Dean B. Carson, Elizabeth Wenghofer, Patrick Timony, Adrian Schoo, Peter Berggren, Brian Charters, Daniel R. White, Ana Vuin and Jaimee Garrett INTRODUCTION This chapter proposes that effective recruitment and retention of health (and other) professionals in sparsely populated areas relies on an understanding of the specific location in which the workforce will be based, the workplace and the existing local health workforce. While recruitment and retention is a problem for almost all sparsely populated areas, getting the right ‘place–workforce–workplace’ fit is a process that is specific to individual settlements. The chapter uses research from Australia (attributes of local health workforce) and Canada (attributes of work and the workplace) to illustrate the diversity of contexts for recruitment and retention. Research from Sweden will demonstrate how settlement- ensitive recruits ment and retention programmes may be designed and implemented. Since the mid- 980s, the health sector has invested substantial resources 1 into research and programmes to support recruitment and retention of professional staff in sparsely populated areas of Australia, Canada, the United States and Europe. Thirty years of research has led to a series of ‘general truths’ about recruitment and retention. These include observations about the sorts of people who are attracted to work in sparsely populated areas, the sorts of incentives required to attract those people, and the characteristics of workplaces and host communities that serve to maximise recruitment and retention (henceforth R&R) potential (Wilson et al., 2009). The general truths contain elements of paradox. For example, health professionals...

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