Evidence map›Paper›PMID 26194003›Full record

SynthesisHuman resources for health2015

Analysis of context factors in compulsory and incentive strategies for improving attraction and retention of health workers in rural and remote areas: a systematic review.

Xiaoyun Liu, Lixia Dou, Huan Zhang, Yang Sun, Beibei Yuan

Abstract readSystematic Review
In one paragraph

Synthesis in Human resources for health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Influences of Western Cape community service doctors' choice regarding public, rural practice.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xiaoyun LiuChina Centre for Health Development Studies, Peking University, Mailbox box 505, 38 Xueyuan Road, Haidian District, Beijing, 100191, People's Republic of China. xliu@bjmu.edu.cn.
Lixia DouCenter for Woman and Child's Health, China Center for Disease Control and Prevention, Beijing, China. lillydou@126.com.
Huan ZhangChina Centre for Health Development Studies, Peking University, Mailbox box 505, 38 Xueyuan Road, Haidian District, Beijing, 100191, People's Republic of China. nancyzhang0224@163.com.
Yang SunSchool of Political Science and Public Administration, Wuhan University, 299 Bayi Road, Wuchang District, Wuhan, China. yangsun@whu.edu.cn.
Beibei YuanChina Centre for Health Development Studies, Peking University, Mailbox box 505, 38 Xueyuan Road, Haidian District, Beijing, 100191, People's Republic of China. beibeiyuan@bjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent literature systematically reports that interventions to attract and retain health workers in underserved areas need to be context specific but rarely defines what that means. In this systematic review, we try to summarize and analyse context factors influencing the implementation of interventions to attract and retain rural health workers.

methodsWe searched online databases, relevant websites and reference lists of selected literature to identify studies on compulsory rural service programmes and financial incentives. Forty studies were selected. Information regarding context factors at macro, meso and micro levels was extracted and synthesized.

resultsMacro-level context factors include political, economic and social factors. Meso-level factors include health system factors such as maldistribution of health workers, growing private sector, decentralization and health financing. Micro-level factors refer to the policy implementation process including funding sources, administrative agency, legislation process, monitoring and evaluation.

conclusionsMacro-, meso- and micro-level context factors can play different roles in agenda setting, policy formulation and implementation of health interventions to attract and retain rural health workers. These factors should be systematically considered in the different stages of policy process and evaluation.

Indexed as

Health PersonnelMedically Underserved AreaMotivationPersonnel SelectionPersonnel TurnoverRural Health ServicesRural PopulationDelivery of Health CareHumansMandatory ProgramsWorkforce

Identifiers

PMID26194003
PMCPMC4508764

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.