Early Predictors of Physicians' Practice in Medically Underserved Communities: A 12-Year Follow-up Study of University of New Mexico School of Medicine Graduates

Early Predictors of Physicians' Practice in Medically Underserved Communities: A 12-Year Follow-up Study of University of New Mexico School of Medicine Graduates
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DOI:
10.1097/acm.0b013e3181ed1bee
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发表时间:
2010-10-01
期刊:
影响因子:
7.4
通讯作者:
Cosgrove, Ellen
Cosgrove, Ellen
中科院分区:
教育学1区
文献类型:
--
作者:
Wayne, Sharon J.;Kalishman, Summers;Cosgrove, Ellen

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由于居住在农村和/或经济状况,相当多的人得不到充分的医疗服务。许多医学院的使命是服务于这一群体,因此,能够确定申请人可能为这一人群服务是valuable.MethodIn 2009年,作者问毕业生从他们的医学院,类1997年及以后,如果他们在医疗服务不足的社区在过去的一年中实践。从医学院的应用程序和分数从调查中获得的变量进行了分析,在matriculation.ResultsOf 244从业者,35%的工作在一个服务不足的社区的态度。农村背景,年龄较大(25 +)在入学,并作为一个代表性不足的少数民族的成员是独立的,统计学上显着的预测实践中服务不足的community.ConclusionsSchools希望增加从业者照顾服务不足的人数可以考虑老年人以及农村和少数民族申请人。
BackgroundSubstantial numbers of people are medically underserved because of rural residence and/or economic circumstances. The mission of many medical schools is service to this group, so the ability to identify applicants likely to serve this population is valuable.MethodIn 2009, the authors asked graduates from their medical school, class of 1997 and forward, if they practiced in a medically underserved community in the past year. Variables obtained from medical school applications and scores from a survey of attitudes toward the underserved measured at matriculation were analyzed using logistic regression.ResultsOf 244 practitioners, 35% reported working in an underserved community. Rural background, older age (25 +) at matriculation, and being a member of an underrepresented minority were independent, statistically significant predictors of practice in an underserved community.ConclusionsSchools wanting to increase the number of practitioners caring for the underserved could consider older as well as rural and minority applicants.