Table 2.
Overall mean scores for importance, advantages/challenges, and community Apgar scores
| Advantage or Challengea | Importanceb | Apgar Scorec | |
|---|---|---|---|
| Economic class | |||
| Part-time Opportunities | -0.27 | 2.7 | -0.73 |
| Loan Repayment | 0.20 | 3.1 | 0.62 |
| Salary (Amount) | 0.17 | 3.4 | 0.58 |
| Signing Bonus/Moving Expenses | 0.34 | 3.0 | 1.0 |
| Length of Contract Flexibility | 0.21 | 2.9 | 0.62 |
| Perceived Fiscal Stability | 0.17 | 3.3 | 0.56 |
| Production Incentive | 0.20 | 3.1 | 0.61 |
| Retirement Package | 0.37 | 3.2 | 1.2 |
| CME Benefit | 0.63 | 3.1 | 2.0 |
| Competition | 0.10 | 2.7 | 0.27 |
| Facility and community support class | |||
| Physical plant and equipment | 0.13 | 3.2 | 0.42 |
| Plans for capital investment | 0.10 | 3.1 | 0.31 |
| Electronic medical records | -0.77 | 3.4 | -2.6 |
| Leadership | 0.40 | 3.4 | 1.4 |
| Televideo support | -0.53 | 2.9 | -1.6 |
| Community need/support | 0.53 | 3.2 | 1.7 |
| Welcome and recruitment program | 0.54 | 2.7 | 1.5 |
| Medical reference resources | 2.0 | 2.9 | 5.9 |
| Delegated patient services | 0.21 | 2.9 | 0.60 |
| Moonlighting opportunities | 0.27 | 2.6 | 0.69 |
| Geographic class | |||
| Access to larger community | -0.70 | 2.6 | -1.8 |
| Demographics: underserved/pay or mix | -0.77 | 2.8 | -2.1 |
| Housing (availability and/or affordability) | -1.2 | 3.2 | -3.7 |
| Schools | -0.25 | 3.2 | -0.81 |
| Social networking | -0.47 | 2.7 | -1.3 |
| Recreational opportunities | 1.3 | 3.3 | 4.3 |
| Spousal satisfaction (education, work, general) | -0.34 | 3.5 | -1.2 |
| Shopping and other services | -0.77 | 2.6 | -2.0 |
| Climate | 0.60 | 2.8 | 1.7 |
| Perception of Community | -0.10 | 2.8 | -0.28 |
| Medical support class | |||
| Perception of quality | 0.77 | 3.5 | 2.7 |
| Stability of physician workforce | 0.33 | 3.4 | 1.1 |
| Specialist availability | -0.31 | 3.1 | -0.95 |
| Nursing workforce | -0.31 | 3.5 | -1.1 |
| Mid-level provider workforce | 0.62 | 3.0 | 1.9 |
| Ancillary staff workforce | 0.30 | 3.1 | 0.92 |
| Pharmacy services | 0.31 | 3.1 | 0.97 |
| Allied mental health workforce | -0.10 | 3.3 | -0.33 |
| Language support services | -0.24 | 2.8 | -0.66 |
| Call/practice coverage | 0.03 | 3.5 | 0.10 |
| Scope of practice class | |||
| Obstetrics: prenatal care | 0.79 | 3.1 | 2.5 |
| Obstetrics: deliveries/C-section | 0.79 | 3.1 | 2.5 |
| Inpatient care | 0.87 | 3.3 | 2.9 |
| Emergency/stabilization care | 0.86 | 3.3 | 2.9 |
| Minor trauma (casting/suturing) | 0.86 | 3.1 | 2.7 |
| Office GYN procedures | 0.61 | 2.9 | 1.8 |
| Mental health | -0.17 | 3.2 | -0.55 |
| Mid-level supervision | 0.30 | 2.8 | 0.84 |
| Teaching | 0.76 | 3.1 | 2.4 |
| Administration | 0.23 | 3.1 | 0.71 |
aMean scores were calculated based on a -2 to 2 scale where -2 = major challenge, -1 = minor challenge, 1 = minor advantage, and 2 = major advantage
bMean scores were calculated based on a 1 to 4 scale where 1 = very unimportant, 2 = unimportant, 3 = important, and 4 = very important
cApgar scores were calculated by multiplying importance scores by advantage/challenge scores to create the weighted ‘Apgar’ score (Importance x Advantage/Challenge = Apgar)