研究生医学教育和医生实践地点. 对医生劳动力政策的影响
S D Seifer1, K Vranizan, K Grumbach
1Center for the Health Professions, University of California, San Francisco 94143-1364, USA.
JAMA
|September 6, 1995
概括
大多数医生不在他们所接受培训的地方执业,这表明医疗专业人员的全国市场. 产生许多人均医生的国家并不完全满足国家需求.
科学领域:
- 医学教育 医学教育
- 医生劳动力分析
- 医疗保健政策 医疗保健政策
背景情况:
- 了解医生实践地点对于医疗保健工作人员规划至关重要.
- 研究生医学教育影响医生选择在哪里执业.
- 培训地点和实践地点之间的关系是复杂的,并且因州而异.
研究的目的:
- 为了确定研究生医学教育和医生实践位置之间的关系.
- 分析在训练状态下执业的医生的预测因素.
- 评估医生实践地点的国家市场动态.
主要方法:
- 对1993年活跃的医生进行横截面分析.
- 根据专业和专业活动进行分层.
- 后勤回归用于识别实践位置的预测因素.
主要成果:
- 51%的医生在他们的研究生医学教育状态中执业;状态范围:6%-71%.
- 一般医生比专家更有可能在他们的培训状态下进行实践 (OR 1.36).
- 人均医生培训较高与较低的留学率存在弱相关性.
结论:
- 医生的培训和实践作为一个全国性市场运作,分布广泛.
- 人均医生产量高的国家并不仅仅服务于国家市场.
- 这些发现对旨在控制医生供应和混合的州提出了挑战.
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