Increasing the Supply of Women Physicians in Rural Areas: Outcomes of a Medical School Rural Program
Increasing the Supply of Women Physicians in Rural Areas: Outcomes of a Medical School Rural Program
复制标题
DOI：
10.3122/jabfm.2011.06.110037
复制
发表时间：
2011-11-01
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, James J.;Santana, Abbie J.
背景：女医生在农村地区行医的可能性低于男医生。随着女性医生的比例不断增加，人们担心这可能会加剧农村医生的短缺。杰斐逊医学院 (JMC) 的医师短缺地区计划 (PSAP) 是少数医学院农村计划之一，该计划已被证明能成功解决农村医生短缺问题；方法：对于 1992 年至 2002 年 JMC 毕业班的 2394 名医生，2007 年 PSAP 和非 PSAP 毕业生的执业地点和专业是从杰斐逊纵向研究中获得的。确定女性和男性 PSAP 与非 PSAP 毕业生在农村地区实习的相对可能性并进行比较。结果：女性 PSAP 毕业生在农村地区实习的可能性是非 PSAP 女性的两倍多（31.7% vs 12.3%；相对风险，2.6；95% CI，1.6-4.2）。这与男性的 PSAP 结果相似（51.8% vs 17.7%；相对风险，2.9，95% CI，2.2-3.9；相对风险比，0.9，95% CI，0.5-1.5）。对于从事农村家庭医学和农村初级保健的女性和男性来说，PSAP 的结果也相似。结论：这些结果表明，医学院农村项目有潜力帮助解决农村地区女医生严重短缺的问题，从而增加生活在那里的人获得护理的机会。（J Am Board Fam Med 2011；24：740-744。）
Background: Women physicians are less likely then men to practice in rural areas. With women representing an increasing proportion of physicians, there is concern that this could exacerbate the rural physician shortage. The Physician Shortage Area Program (PSAP) of Jefferson Medical College (JMC) is one of a small number of medical school rural programs shown to be successful in addressing the rural physician shortage; however, little is known about their specific impact on women.Methods: For 2394 physicians from the 1992 to 2002 JMC graduating classes, the 2007 practice location and specialty for PSAP and non-PSAP graduates were obtained from the Jefferson Longitudinal Study. The relative likelihood of PSAP versus non-PSAP graduates practicing in rural areas was determined for women and men and compared.Results: Women PSAP graduates were more than twice as likely as non-PSAP women to practice in rural areas (31.7% vs 12.3%; relative risk, 2.6; 95% CI, 1.6-4.2). This was similar to the PSAP outcomes for men (51.8% vs 17.7%; relative risk, 2.9, 95% CI, 2.2-3.9; relative risk ratio, 0.9, 95% CI, 0.5-1.5). PSAP outcomes were also similar for women and men practicing rural family medicine and rural primary care.Conclusion: These results provide support that medical school rural programs have the potential to help address the serious shortage of women physicians in rural areas, thereby increasing access to care for those living there.(J Am Board Fam Med 2011;24:740-744.)