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Rural practice. Preference, perception, and reality

P P Hartlaub1, R L Gordon

  • 1Department of Family Medicine, University of Wisconsin Medical School, Madison.

Archives of Family Medicine
|November 1, 1993
PubMed
Summary
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Physician perceptions of rurality vary, with many preferring rural practice but perceiving their location as urban. Addressing these perceived barriers could increase rural physician placement.

Area of Science:

  • Medical Sociology
  • Rural Health Policy
  • Physician Workforce Studies

Background:

  • Geographic maldistribution of physicians is a persistent issue in the United States.
  • Existing research often defines "rural" variably, lacking physician perspectives.
  • Physician perceptions and preferences for rural practice remain under-explored.

Purpose of the Study:

  • To qualitatively investigate physicians' perceptions of rurality.
  • To assess the alignment between perceived rurality and common definitions.
  • To evaluate physicians' preferences for rural practice and its association with perceived practice location.

Main Methods:

  • Descriptive study utilizing a mailed questionnaire.
  • Targeted graduates of a Family Medicine residency program.

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  • Assessed perception and preference regarding rural practice settings.

    • Main Results:

    • Agreement on rurality definitions was highest for "nonurban population center of less than 25,000."
    • 44.7% of respondents preferring rural practice perceived their site as urban.
    • Physicians identified <25,000 nonurban population as the rural-urban threshold.

    Conclusions:

    • Physician perceptions of rurality do not always align with standard definitions.
    • Significant barriers exist for physicians who prefer rural practice but perceive their setting as urban.
    • Eliminating identified barriers may enhance rural physician recruitment and retention.