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  1. Academia's chilly climate for primary care.

    Article - En anglais


    - To describe the attitudes toward and perceptions of primary care education and practice among academic health center constituents.

    Design and Participants

    - Descriptive study using confidential telephone interviews (October 1993 to March 1994) of national stratified probability samples of first-and fourth-year medical students, residents, clinical faculty, internal medicine and pediatrics residency training directors and chairs, and deans (N=2293).


    - Five areas were examined : respondents'specialty orientation, attitudes toward the competence of primary care physicians, encouragement and positive regard for primary care, exposure to primary care-related educational experiences, and socioemotional orientation.

    The response rate was 84%. Respondents generally perceive primary care tasks as not requiring high levels of expertise ; nearly half believe that generalists are not the best physicians to manage patients with serious illness and that the quality of primary care research is inferior to that in other fields.

    Attitudes are more positive toward the quality of primary care teaching.

    Learners perceive little encouragement for generalist careers and negative attitudes toward generalists among faculty, and view the quality of their primary care training as inferior to that for specialty practice. (...)

    Mots-clés Pascal : Soin santé primaire, Secteur privé, Centre santé, Education, Enseignement universitaire, Médecine, Centre hospitalier universitaire, Homme

    Mots-clés Pascal anglais : Primary health care, Private sector, Health center, Education, Higher education, Medicine, Teaching hospital, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0440624

    Code Inist : 002B30A04A. Création : 10/04/1997.