农村纵向综合实习和医疗人员成果:一个范围审查
Jessica Beattie1, Marley Binder2, Lara Fuller1
1School of Medicine, Rural Community Clinical School, Deakin University, Colac, Australia.
Medical teacher
|September 28, 2023
概括
农村纵向综合实习 (LIC) 帮助毕业生在农村地区和初级保健工作. 战略选择和培训可以进一步改善这些医疗工作人员的结果.
科学领域:
- 医学教育 医学教育
- 农村卫生保健工作人员
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗劳动力的地理和专业分配不当是一个全球性的挑战.
- 农村环境中的纵向综合实习 (LIC) 是解决这一问题的策略.
研究的目的:
- 综合有关农村LIC毕业生的医疗工作人员成果的证据.
- 识别研究缺口,为未来的农村医疗人员规划提供信息.
主要方法:
- 按照阿克西和奥马利的方法进行系统性审查.
- 搜索了多个数据库,包括Medline,CINAHL,Scopus,Embase和科学网络.
- 包括最初识别的9045篇文章中的25篇文章,主要是基于队列的研究.
主要成果:
- 农村LIC毕业生显示,农村实践和选择初级保健专业的可能性更高.
- 出现了五个主要主题:地理结果,非LIC培训的影响,农村保留,专业选择和选择/偏好.
- 有证据表明,通过调整选择和培训因素,可以提高劳动力成果.
结论:
- 农村LIC项目积极影响毕业生的实践地点和专业选择.
- 建议进行进一步的研究和选择和培训的战略调整,以优化农村医疗工作人员的结果.
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