解决国家医疗保健需求:美国最近的MD毕业生及其打算在服务不足的地区执业
Amy Pineda1, Michael Cameron1, Natalie J Felida1,2
1Academic Affairs, Association of American Medical Colleges, Washington, DC, United States.
概括
来自农村或低社会经济背景的医学院毕业生,以及那些早期意图或为服务不足的实践提供特定选修的人,更有可能为这些社区服务. 这些因素可以被利用来增加医生在服务不足的地区的存在.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 健康劳动力研究 卫生劳动力研究
背景情况:
- 在服务不足的地区分配医生仍然是一个关键的公共卫生挑战.
- 了解影响医学毕业生在服务不足地区执业意图的因素对于劳动力规划至关重要.
研究的目的:
- 确定与美国医学院毕业生在毕业后在服务不足的地区执业的意图相关的独立变量.
- 为增加服务不足社区医生劳动力的战略提供信息.
主要方法:
- 使用国家非识别毕业生数据 (2018-2022) 的回顾性队列研究.
- 分析包括双变量和多层物流回归.
- 检查了人口统计,早期意图,医学院经验和服务不足的实践意图 (UPI) 之间的关联.
主要成果:
- 在56,484名毕业生中,28%的毕业生报告了缺乏服务的实践意向 (UPI).
- 较高的UPI概率与农村/低社会经济背景,以前的UPI,预备选修和初级保健/紧急医疗专业计划有关.
- 较低的UPI概率与非一般外科和其他非外科专业相关.
结论:
- 人口统计学特征,早期职业意图和医学院的暴露显著影响毕业生在服务不足的地区实践的意图.
- 医学教育期间的干预措施可以培养或维持服务不足的实践意图.
- 结果支持医学院努力满足医生劳动力需求在服务不足的地区.
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