Recruitment and retention of medical practitioners is a challenging contemporary policy issue for rural areas. In this paper we explore this issue in the context of doctors in rural and remote Scotland, drawing on findings from a service mapping exercise into the recruitment and retention of doctors in rural areas, conducted by interviewing key stakeholders in the delivery of healthcare in rural and remote Scotland, most of whom combine clinical and organisational responsibilities. The aim of this paper is to understand the key issues, drawing on what the stakeholders see across the day-to-day delivery of their clinical roles and within the varied levels of the organisational structure of Scottish healthcare to which they contribute. Our findings build on a review of key literature of contemporary issues in rural Scotland, healthcare delivery in rural areas and wider international literature on recruitment and retention of medical practitioners. Our findings focus around three key themes: power of place; how people make place; and place and policy. In our conclusion, we argue that the importance of this stakeholder research is three-fold. First, that such insights from stakeholders are important in shaping and preparing for future research on the topic, particularly interviewing those currently working. Second, it adds to and echoes the growing body of literature globally focused on recruitment and retention by expanding on the Scottish context. Finally, it proposes that appropriate and effective rural proofing is important in the implementation of new policies where place-based challenges or differences can emerge.

中文翻译：

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了解苏格兰农村地区医生的招聘和保留：利益相关者的观点

对农村地区而言，招聘和留住医生是一个具有挑战性的当代政策问题。在本文中，我们在苏格兰农村和偏远地区的医生的背景下探讨了这个问题，借鉴了农村地区医生招聘和保留的服务映射工作的结果，通过采访农村和偏远地区提供医疗保健的主要利益相关者进行了调查。偏远的苏格兰，他们中的大多数人兼有临床和组织责任。本文的目的是了解关键问题，利用利益相关者在其临床角色的日常交付中以及他们所贡献的苏格兰医疗保健组织结构的不同级别中所看到的内容。我们的研究结果建立在对苏格兰农村当代问题关键文献的回顾之上，农村地区的医疗保健服务以及有关招聘和保留医生的更广泛的国际文献。我们的发现围绕三个关键主题：地方的力量；人们如何创造空间；以及地点和政策。在我们的结论中，我们认为这种利益相关者研究的重要性是三方面的。首先，利益相关者的这种见解对于塑造和准备该主题的未来研究非常重要，特别是采访那些目前正在工作的人。其次，它通过扩展苏格兰语境，补充并呼应了全球范围内越来越多的关注招聘和保留的文献。最后，它提出在可能出现基于地方的挑战或差异的新政策的实施中，适当和有效的农村打样非常重要。