使用倾向分数匹配的队列来评估医学学生完成不足的途径的职业成果
Genya Shimkin1, Kimberly Kardonsky2, Alisse Cassell1
1Department of Family Medicine, Medical Student Education Section, University of Washington School of Medicine, Seattle, WA.
低服务途径 (UP) 的医学学生更有可能从事农村家庭医学和农村初级保健. 这一途径可能有助于解决农村地区医生短缺的问题.
科学领域:
- 医学教育 医学教育
- 农村医疗卫生工作人员
- 医生职业生涯的结果
背景情况:
- 华盛顿大学医学院 (UWSOM) 的Underserved Pathway (UP) 计划旨在为农村实践培训医生.
- 了解UP毕业生的长期职业成果对于评估其有效性至关重要.
研究的目的:
- 为了比较UWSOM医学学生的职业成果,他们完成了UP与那些没有完成的学生.
- 确定UP毕业生是否更有可能在农村地区和/或初级保健专业从事实践.
主要方法:
- 倾向-得分匹配被用来从243名UP学生 (2004-2012) 的名单中创建一个可比的非UP毕业生的队列.
- 用多重回归分析来比较UP和非UP毕业生之间的职业成果.
主要成果:
- 这项研究包括384名UWSOM毕业生 (191名UP,193名非UP).
- 在农村社区,UP毕业生表现出在农村社区实践家庭医学的几率 (3倍) 显著更高.
- 与非UP同龄人相比,UP毕业生实践农村初级保健的几率甚至更高 (3.5倍).
结论:
- 像UP这样的辅导课程可以积极影响医生分配到服务不足的农村地区.
- 这些计划显示出解决农村社区医生劳动力短缺问题的潜力.
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