通过教育影响医生分配:关于在日本农村医院保留医生的定性研究
Daichi Sogai1,2, Kiyoshi Shikino3,4, Kazuyo Yamauchi1
1Department of Community-Oriented Medical Education, Chiba University Graduate School of Medicine, Chiba, Japan.
日本农村的普通医疗培训计划提高了医生留学率. 关键因素包括参与教育活动和强有力的指导系统,促进专业成长和在服务不足的领域的承诺.
科学领域:
- 医学教育 医学教育
- 农村卫生 农村卫生
- 医生保留 医生保留
背景情况:
- 日本农村地区面临着严重的医疗保健专业人员短缺问题.
- 桑木医疗中心利用住院医生进行通用医学培训,以提高保留率.
- 这项研究确定了农村环境中成功的医生保留计划的关键因素.
研究的目的:
- 确定导致日本农村医院医生留在医院中的关键因素.
- 了解对社区医疗保健机构医生承诺的感知影响.
- 从医生和医院主任的角度来比较保留因素.
主要方法:
- 使用半结构面试进行定性研究设计.
- 对四名医生和中心主任的采访进行了内容分析.
- 探索影响医生短缺地区医生留学率的因素.
主要成果:
- "教育活动"和"监督医生和指导系统"对于留守至关重要.
- 参与教育促进个人和专业的成长.
- 结构化的指导和多样化的学习机会对于农村承诺至关重要.
结论:
- 基于社区的医疗教育,指导和支持性环境提高了农村医生保留率.
- 有效的计划可以解决医生分配不良的问题,并改善服务不足的地区的护理.
- 为农村医院提供实用策略,包括对女性医生的支持.
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