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Factors predictive of physician location.

G Leonardson, R Lapierre, D Hollingsworth

    Journal of Medical Education
    |January 1, 1985
    PubMed
    Summary

    Physician practice location is influenced by personal background and professional factors. Key predictors include community size, physician contacts, and desire for continuing education and facilities.

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    Area of Science:

    • Medical Education
    • Health Services Research
    • Sociology of Medicine

    Background:

    • Understanding factors influencing physician practice location is crucial for healthcare workforce planning.
    • Previous studies have explored various demographic and professional influences on where physicians choose to practice.

    Purpose of the Study:

    • To identify factors predictive of practice location among medical school graduates.
    • To analyze the relationship between personal background, professional aspirations, and practice setting.

    Main Methods:

    • Survey of 182 University of South Dakota School of Medicine graduates (1969-1973).
    • Statistical analysis, including multiple regression, to identify significant predictors.
    • Inclusion of 29 independent variables related to personal and professional characteristics.

    Main Results:

    • Significant individual factors include physician's and spouse's upbringing community size, high school class size, physician contacts, and importance of continuing medical education, professional growth, and medical facilities.
    • Multiple regression analysis identified nine significant factors contributing to the prediction of physician practice location.
    • The study highlights a multifactorial model for predicting physician placement.

    Conclusions:

    • Physician practice location decisions are complex and influenced by a combination of personal history and professional values.
    • Healthcare institutions and policymakers can use these findings to better understand and potentially influence physician distribution.
    • Further research could explore these factors in contemporary medical graduate cohorts.

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