田舎の医師を育成する医科大学は?
R A Rosenblatt1, M E Whitcomb, T J Cullen
1WAMI Rural Health Research Center, University of Washington School of Medicine, Seattle 98195.
JAMA
|September 23, 1992
まとめ
医学部では,卒業生の数が農村での診療所に入ることによって異なる. 学校の場所,所有権,専門分野の重点などの要因が影響し,農村の医師の供給に影響を与えます.
科学分野:
- 医学教育研究 医学教育研究
- 農村保健労働力研究 農村保健労働力研究
- 医者の実践パターン
背景:
- 農村部では医者の不足が続いている.
- 医師の診療場所に影響を与える要因を理解することは,これらの不足に対処するために不可欠です.
- 医学部の特徴は,卒業生を農村での診療に導く上で重要な役割を果たすかもしれません.
研究 の 目的:
- 医学部の卒業生が農村での診療に参入する割合が体系的に異なるかどうかを調査する.
- 農村志向の医師を生産する医学部の特徴を特定する.
主な方法:
- アメリカ医学協会の医師マスターファイル (1991年12月) を利用した.
- 1976年から1985年の間に米国の医学部を卒業した医師の診療所を分析した.
- 医者のデータを医学部の特徴 (所在地,所有権,資金) とリンクした.
主要な成果:
- 分析された医師の12.6%が農村で診療をしており,家庭医は農村で診療をすることが最も多い.
- 医療専門学校における農村での診療率の有意な差異は (2.3%から41.2%) であった.
- 地方の州の位置,公共の所有権,家族医学に焦点を当て,NIHの資金の減少は,より高い農村の卒業率を予測しました.
結論:
- 医科学校の組織,場所,使命は,卒業生が農村での実践に傾く傾向と強く相関しています.
- 医学部と政府の政策調整をターゲットにすることで,農村部の医師不足を緩和することができます.
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