Practice-based research network membership is associated with retention of clinicians in underserved communities: A Research Involving Outpatient Settings Network (RIOS Net) study
Practice-based research network membership is associated with retention of clinicians in underserved communities: A Research Involving Outpatient Settings Network (RIOS Net) study
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DOI：
10.3122/jabfm.2008.04.080022
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发表时间：
2008-07-01
影响因子：
2.9
通讯作者：
Williams, Robert L.
中科院分区：
文献类型：
--
作者：
Sinclair-Lian, Nityamo;Rhyne, Robert L.;Williams, Robert L.
背景：专业隔离是农村和服务不足社区执业的障碍。本研究的目的是调查以实践为基础的研究网络成员与成员和非成员目前诊所工作时间之间的关系。方法：这是一项横断面研究，在新墨西哥州有7个小组实践（2个城市和5个农村小组，包括22个诊所点），有RIOS网络成员和非成员执业临床医生。结果：22家诊所共有95名临床医生，其中43%为RIOS网络成员（59名md中有21名，18名执业护士中有8名，15名医师助理中有9名，其他3名中有3名）。与非RIOS Net成员（4.0年，SD为5.0年，中位数为2.3年，P = 0.003）相比，RIOS Net成员的平均就业时间明显更长（7.0年，标准差为6.8年，中位数为5.0年）。当以2年和5年的时间间隔分析时，也发现了类似的结果。讨论：成为基于实践的研究网络的一员可能是在农村实践中停留更长时间的决定因素。这是一项产生假设的研究，需要从更大的研究中得到证实，这些研究的分析将临床人口统计学和实践类型分层。
Background: Professional isolation is a barrier to practicing in rural and underserved communities. The purpose of this study was to investigate the association between membership in a practice-based research network and the length of employment in members' and nonmembers' current clinic sites.Methods: This was a cross sectional study of 7 group practices (2 urban and 5 rural groups comprising 22 clinic sites) throughout New Mexico that had RIOS Net member and nonmember practicing clinicians.Results: The 22 clinics employed 95 clinicians, of which 43% were RIOS Net members (21 of 59 MDs, 8 of 18 Nurse Practitioners, 9 of 15 Physician Assistants and 3 of 3 others). RIOS Net members had a significantly longer mean employment time (7.0 years; SD, 6.8 years; median, 5.0 years), compared with non-RIOS Net members (4.0 years; SD, 5.0 years; median, 2.3 years; P = .003). Similar results were found when analyzed by length of time in practice with cutoffs of 2 and 5 years.Discussion: Being a member of a practice-based research network may be a determinate of staying in rural practice longer. This is a hypothesis-generating study and needs confirmation from larger studies whose analysis stratifies clinician demographics and practice type.