title: Recruitment and retention of rural general practitioners: a marketing approach reveals new possibilities.
abstract: OBJECTIVE
  This paper repositions the challenge of attracting and retaining rural GPs in a marketing context as a new focus for future research and policy development.
  
  
  METHODS
  Case study with mixed design of surveys of GPs and medical students and depth interviews with GPs, medical students, regional-division administrators and GP recruitment agents.
  
  
  METHODS
  GP recruitment and retention in the Limestone Coast region of South Australia.
  
  
  METHODS
  Twenty-seven Limestone Coast (LC) GPs; random sample of medical students from Adelaide University, Adelaide University Rural Health Society and Flinders University; snowball sampling two adjacent rural regions (20 GPs); and administrators from LC and adjacent regions and GP recruitment agencies in Adelaide.
  
  
  METHODS
  Drawing from marketing theory, creative suggestion of 'promotion of the practice and not the region' offers a means of GP recruitment and retention for structured succession planning for rural general practices.
  
  
  RESULTS
  Structural attempts to broaden the GP market with overseas recruitment have done little for improving full-time equivalent GP levels. Market segmentation and market orientation offer a new emphasis on value exchange between the corporation (the practice), customer (GPs) and competition (all practices) to influence future mobility.
  
  
  CONCLUSIONS
  A marketing orientation to the GP challenge emphasises individual's perceptions of value, GP expectations and practice offerings. Failure to acknowledge benefits of this marketing approach means that solutions such as those developed in the Limestone Coast region are unlikely. Research is now required to define GP satisfaction and value for long-term viability of general practices.
authors.affiliation: School of Marketing, University of South Australia, Adelaide, SA, Australia. elizabeth.hemphill@unisa.edu.au
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Hemphill
authors.forename: Steve
authors.initials: S
authors.lastname: Dunn
authors.forename: Hayley
authors.initials: H
authors.lastname: Barich
authors.forename: Rebecca
authors.initials: R
authors.lastname: Infante
mesh_terms: D000328:Adult; D001315:Australia; D005260:Female; D019981:Health Care Sector; D019538:Health Care Surveys; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D040541:Marketing / Q000379:methods*; D008875:Middle Aged; D019982:Organizational Case Studies; D010559:Personnel Management / Q000379:methods*; D010560:Personnel Selection; D010821:Physicians, Family / Q000600:supply & distribution*; D019035:Rural Health Services; D013021:South Australia; D000078329:Workforce