移転する医師とその理由
JAMA
|September 24, 1982
まとめ
米国における医師の移住は,若い女性医師がより頻繁に移動し,Frost BeltからSun Beltまでの一般的な人口動向を反映しています. 郡の人口統計は,医師の移動性にも影響を与えます.
科学分野:
- 医学経済学 医学経済学
- 健康労働力に関する研究 労働力に関する研究
- 地理的な移動能力
背景:
- 医者の移住パターンは,医療のアクセスと分配を理解するために不可欠です.
- これまでの研究は,一般人口の移住傾向を示しているが,医師特有のデータはさらなる分析を必要としている.
研究 の 目的:
- 移動する医師と移動しない医師を比較して,移動する医師の人口統計的および職業的特徴を分析する.
- 米国における郡境界を越えた医師の移住に影響を与える要因を特定する.
主な方法:
- 米国各郡の医師の移住データ分析.
- 移動医療従事者と非移動医療従事者の間の人口 (年齢,性別) と職業 (専門,雇用形態) の特徴の比較.
- 潜在的決定因子として郡レベルの社会経済要因 (人口所得,人口規模) を含める.
主要な成果:
- 移動医療専門医は,移動医療専門医と比べると,より頻繁に若く,女性であることが多い.
- 移動不能の医師は,プライマリケアや自営業で働く可能性が高くなります.
- 移動医療従事者は,非初等医療専門分野,医療管理,研究,または教学の分野でより頻繁に働いています.
- 収入や人口規模を含む郡の特徴は,医師の移動パターンと相関しています.
結論:
- 米国における医師の移住パターンは,個々の医師の特徴と地方の郡レベルの要因の影響を受けています.
- これらの移住の動態を理解することは,地域の医療人材のニーズと格差に対処するために不可欠です.
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