Finding, Recruiting, and Sustaining the Future Primary Care Physician Workforce: A New Theoretical Model of Specialty Choice Process
Finding, Recruiting, and Sustaining the Future Primary Care Physician Workforce: A New Theoretical Model of Specialty Choice Process
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DOI：
10.1097/acm.0b013e3181ed4bae
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发表时间：
2010-10-01
影响因子：
7.4
通讯作者：
Phillips, Julie P.
中科院分区：
文献类型：
--
作者：
Bennett, Keisa L.;Phillips, Julie P.
背景限制了数十年的研究，提高选择初级保健专业的医学生率的干预措施尚未广泛成功。通过将决策理论应用于相关文献，并结合了同事和专家的系统反馈来开发模型。归因模型说明了多种专业选择的途径。可以将学生描述为那些在医学院中保持对初级保健的承诺的人，从未对初级保健感兴趣的人以及改变偏好的人。多种因素对这些学生的影响有所不同，包括人口统计学，医学院的经验，学生兴趣，感知的专业特征，生活方式和财务考虑，医疗保健环境，身份发展和选择过程。Conconconconconionsionsconconconionsectionsmoticaltocerietical模型这是针对目标的指南培养更多初级保健医生的干预措施，并阐明需要进一步研究的领域。
BackgroundDespite decades of research, interventions to increase the rate of medical students choosing primary care specialties have not been widely successful.MethodA systematic literature review incorporating a secondary data analysis. A model was developed by applying decision-making theories to the pertinent literature and incorporating systematic feedback from colleagues and experts.ResultsThe model illustrates multiple pathways to specialty choice. Students can be characterized as those who maintain a commitment to primary care throughout medical school, those who are never interested in primary care, and those who change preferences. Multiple categories of factors affect these students differently, including demographics, the medical school experience, student interests, perceived specialty characteristics, lifestyle and financial considerations, the health care environment, identity development, and the choice process.ConclusionsThis theoretical model is a guide to targeting interventions toward cultivation of more primary care physicians and clarifies areas needing further research.