哪些医学院可以培养农村医生?
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
概括
医学院在毕业生进入农村实践的数量上有所不同. 学校的位置,所有权和专业重点等因素影响了这一点,影响了农村医生供应.
科学领域:
- 医学教育研究 医学教育研究
- 农村卫生劳动力研究 农村卫生劳动力研究
- 医生实践模式的模式
背景情况:
- 农村地区面临着持续的医生短缺问题.
- 了解影响医生实践位置的因素对于解决这些短缺至关重要.
- 医学院的特点可能在引导毕业生进入农村实践方面发挥重要作用.
研究的目的:
- 调查医学院在毕业生进入农村实践的比例上是否有系统的差异.
- 确定与生产面向农村的医生相关的医学院特征.
主要方法:
- 使用了美国医学协会的医生主档 (1991年12月).
- 分析了1976年至1985年间从美国医学院毕业的医生的实践地点.
- 与医学院特征 (位置,所有权,资金) 相关联的医生数据.
主要成果:
- 分析的医生中有12.6%在农村执业;家庭医生最有可能在农村地区执业.
- 医学院的农村实践率存在显著差异 (2.3%至41.2%).
- 农村州的位置,公共所有权,家庭医学重点和NIH资金较低预测了较高的农村毕业率.
结论:
- 医学院的组织,位置和使命与毕业生对农村实践的倾向密切相关.
- 医学院和政府之间的有针对性的政策协调可以帮助缓解农村医生短缺问题.
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