A medical school for rural areas
A medical school for rural areas
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DOI：
10.1046/j.1365-2923.1997.00699.x
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发表时间：
1997-11-01
影响因子：
6
通讯作者：
Igarashi, M
中科院分区：
文献类型：
--
作者：
Inoue, K;Hirayama, Y;Igarashi, M
济池医学院（JMS）成立于1972年，旨在为医疗资源匮乏的农村地区输送毕业生。 JMS 有几个独特的特点，旨在激励毕业生到农村实践工作。其中包括对学生的经济援助、家乡县招生计划、非城市地区的地理位置、都道府县的管理以及中央政府的支持。对JMS成立24年来取得的成就进行了评估。自毕业第一年起，我们就向所有 JMS 毕业生邮寄了一份调查问卷。通过积极主动的跟进，退货率几乎达到100%。作者调查了毕业生分布的年度变化以及1995年毕业生的现状。当时，JMS毕业生分布在日本各地。 1995年，1871名毕业生中，792人（42%）下乡工作。第一届至第九届毕业生中有924人毕业。其中，858人（93％）完成了JMS与毕业生之间所需的9年工作合同，620人（67％）在同一地区实习，305人（33％）仍在农村地区实习。虽然还有待改进，但 JMS 已经成功实现了为农村地区提供医生的目标。乡村医生招募制度是解决乡村医生短缺这一全球性难题的有效途径。
Jichi Medical School (JMS) was established in 1972 to supply graduates to rural areas where medical resources are scarce. JMS has several unique characteristics aimed at motivating graduates to work in a rural practice. These include financial aid for students, a home prefecture recruiting scheme, location in a non-urban area, management by prefectures and support from the national government. The achievements of JMS over the 24-year period since its foundation have been evaluated. A questionnaire has been mailed to all JMS graduates since the first year of graduation. Using a pro-active approach to follow-up, the return rate has been virtually 100%. The authors investigated annual changes in the distribution of the graduates as well as the present status of the graduates in 1995. At that time, JMS graduates were distributed all over Japan. Among the 1871 graduates, 792 (42%) were working in rural areas in 1995. Nine-hundred and twenty-four graduated in the period from the first to the ninth output of graduates. Among these, 858 (93%) completed the requisite 9 years of work contracted between JMS and the graduates, 620 (67%) had practised in the same prefecture, and 305 (33%) were still practising in a rural area. Although there are still improvements to be made, JMS has succeeded in achieving its aim of supplying doctors to rural areas. The recruiting system of JMS is an effective approach to overcoming the shortage of rural doctors, which has continued to be an unresolved global problem.