医学の大学院教育と医師の診療所の所在地. 医者の労働力政策への影響
S D Seifer1, K Vranizan, K Grumbach
1Center for the Health Professions, University of California, San Francisco 94143-1364, USA.
JAMA
|September 6, 1995
まとめ
ほとんどの医師は,彼らが訓練を受けた場所で練習しないので,医療従事者のための全国的な市場を示しています. 人口1人あたりの多くの医師を生産する州は,国のニーズに特異的に役立つわけではない.
科学分野:
- 医療教育 医療教育について
- 医者の労働力分析 分析
- 保健医療政策について
背景:
- 医者の診療所を把握することは,医療従事者計画において極めて重要です.
- 医学の大学院教育は,医師が実践することを選択する場所に影響を与えます.
- 訓練場所と練習場所の関係は複雑で,州によって異なります.
研究 の 目的:
- 医学の大学院教育と医師の診療所との関係を決定する.
- 訓練状態で実践する医師の予測要因を分析する.
- 医療従事者の国内市場動態を評価する.
主な方法:
- 1993年に活動していた医師の横断分析.
- 専門分野と職業活動による階層化.
- 練習場所の予測要因を特定するためのロジスティック回帰.
主要な成果:
- 医者の51%が大学院医学教育を修了した州;州範囲:6%-71%.
- 一般医は,専門医よりも,その訓練状態で実践する可能性が高く (OR 1.36).
- 人口1人当たりの医師の研修が高くなるのは,低い留学率と弱い関連性があった.
結論:
- 医者の研修と診療は,広く分散した全国市場として機能しています.
- 人口1人当たりの医師数が多い州は,単に国内市場に奉仕しているわけではない.
- 研究結果は,医師の供給と混合を制御することを目指す州に課題を提示しています.
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