Retention of Rural Family Physicians After 20-25 Years: Outcomes of a Comprehensive Medical School Rural Program
Retention of Rural Family Physicians After 20-25 Years: Outcomes of a Comprehensive Medical School Rural Program
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DOI：
10.3122/jabfm.2013.01.120122
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发表时间：
2013-01-01
影响因子：
2.9
通讯作者：
Santana, Abbie J.
中科院分区：
文献类型：
--
作者：
Rabinowitz, Howard K.;Diamond, Md James J.;Santana, Abbie J.
背景：杰斐逊医学院 (JMC) 的医师短缺地区计划 (PSAP) 是少数综合性医学院农村计划之一，该计划已成功增加了农村地区执业家庭医生的供应。虽然保留率是农村医生供应的一个重要组成部分，但公布的长期结果是有限的。 方法：在 1978 年至 1986 年班级的 1937 名 JMC 毕业生中，我们确定了那些首次在农村县执业时在农村县从事家庭医学的人员（1986 年为 19781981 名毕业生，1991 年为 1982-1986 名毕业生）。然后，我们利用杰斐逊纵向研究，比较了 2011 年仍在同一地区从事家庭医学的 PSAP 和非 PSAP 毕业生的人数。结果：在最初从事农村家庭医学的 92 名 JMC 毕业生中，2011 年有 90 人健在，其中 89 人 (98.9%) 的专业和地点数据可用。在 37 名最初从事农村家庭医学的 PSAP 毕业生中，26 名 (70.3%) 2011 年仍在同一农村地区从事家庭医学，而 52 名非 PSAP 毕业生中有 24 名 (46.2%；P = .02)。结论：这项研究为医学院农村项目的实质性影响提供了额外的支持，表明农村项目的毕业生不仅有可能进入农村家庭医学，而且在农村行医数十年。 （J Am Board Fam Med 2013；26：24-27。）
Background: The Physician Shortage Area Program (PSAP) of Jefferson Medical College (JMC) is one of a small number of comprehensive medical school rural programs that has been successful in increasing the supply of family physicians practicing in rural areas. Although retention is a critical component of the rural physician supply, published long-term outcomes are limited.Methods: Of the 1937 JMC graduates from the classes of 1978 to 1986, we identified those who were practicing family medicine in a rural county when they were first located in practice (in 1986 for 19781981 graduates and in 1991 for 1982-1986 graduates). Using the Jefferson Longitudinal Study, we then compared the numbers of PSAP and non-PSAP graduates who were still practicing family medicine in the same area in 2011.Results: Of the 92 JMC graduates initially practicing rural family medicine, 90 were alive in 2011, and specialty and location data were available for 89 (98.9%). Of the 37 PSAP graduates who originally practiced rural family medicine, 26 (70.3%) were still practicing family medicine in the same rural area in 2011 compared with 24 of 52 non-PSAP graduates (46.2%; P = .02).Conclusion: This study provides additional support for the substantial impact of medical school rural programs, suggesting that graduates of rural programs are not only likely to enter rural family medicine but to remain in rural practice for decades. (J Am Board Fam Med 2013;26:24-27.)